10D2013259 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2013259
  • Facility Name: WALGREEN CO
  • Facility Address: 5501 S KIRKMAN RD
    ORLANDO, FL
    ZIP 32819
  • Facility Phone: 407 248-0315
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NGOC THAO T. NGUYEN
  • NPI Number: 1700892171
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2013259
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 5501 S KIRKMAN RD
City ORLANDO
State FL
ZIP 32819
Phone 407 248-0315
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2023
Certificate Expiration Date 9/19/2025
Facility Type Pharmacy
Lab Director NGOC THAO T. NGUYEN

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This page was last updated on: 3/20/2025