10D2013261 CLIA NUMBER - WALGREENS CO

Laboratory Demographics

  • CLIA Code: 10D2013261
  • Facility Name: WALGREENS CO
  • Facility Address: 5180 W IRLO BRONSON MEMORIAL HWY
    KISSIMMEE, FL
    ZIP 34746
  • Facility Phone: (407) 589-2120
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHAFIYA FATIMA
  • NPI Number: 1336377241
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2013261
LAB Type Pharmacy
Facility Name WALGREENS CO
Street 5180 W IRLO BRONSON MEMORIAL HWY
City KISSIMMEE
State FL
ZIP 34746
Phone 4075892120
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/11/2025
Certificate Expiration Date 3/10/2027
Facility Type Pharmacy
Lab Director SHAFIYA FATIMA

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This page was last updated on: 5/18/2026