10D2013249 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2013249
  • Facility Name: WALGREEN CO
  • Facility Address: 5945 US HWY 301 N
    ELLENTON, FL
    ZIP 34222
  • Facility Phone: 941 722-2884
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARY A. BREWER
  • NPI Number: 1265447395
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2013249
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 5945 US HWY 301 N
City ELLENTON
State FL
ZIP 34222
Phone 941 722-2884
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2025
Certificate Expiration Date 5/24/2027
Facility Type Pharmacy
Lab Director MARY A. BREWER

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This page was last updated on: 9/29/2025