10D2013258 CLIA NUMBER - WALGREENS CO

Laboratory Demographics

  • CLIA Code: 10D2013258
  • Facility Name: WALGREENS CO
  • Facility Address: 11600 S ORANGE BLOSSOM TRL
    ORLANDO, FL
    ZIP 32837
  • Facility Phone: 407 851-8554
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KY T. TRAC
  • NPI Number: 1063429058
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2013258
LAB Type Pharmacy
Facility Name WALGREENS CO
Street 11600 S ORANGE BLOSSOM TRL
City ORLANDO
State FL
ZIP 32837
Phone 407 851-8554
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2025
Certificate Expiration Date 8/2/2027
Facility Type Pharmacy
Lab Director KY T. TRAC

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