10D2013254 CLIA NUMBER - WALGREENS #06412

Laboratory Demographics

  • CLIA Code: 10D2013254
  • Facility Name: WALGREENS #06412
  • Facility Address: 28115 WESLEY CHAPEL BLVD
    WESLEY CHAPEL, FL
    ZIP 33543
  • Facility Phone: 813 973-2257
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROSEMARY CONKEL
  • NPI Number: 1356356489
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2013254
LAB Type Pharmacy
Facility Name WALGREENS #06412
Street 28115 WESLEY CHAPEL BLVD
City WESLEY CHAPEL
State FL
ZIP 33543
Phone 813 973-2257
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2024
Certificate Expiration Date 8/19/2026
Facility Type Pharmacy
Lab Director ROSEMARY CONKEL

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