10D2013492 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2013492
  • Facility Name: WALGREEN CO
  • Facility Address: 4220 MANATEE AVE W
    BRADENTON, FL
    ZIP 34205
  • Facility Phone: 941 749-1561
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HIMANIBEN B. PATEL
  • NPI Number: 1447267521
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2013492
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 4220 MANATEE AVE W
City BRADENTON
State FL
ZIP 34205
Phone 941 749-1561
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2023
Certificate Expiration Date 11/2/2025
Facility Type Pharmacy
Lab Director HIMANIBEN B. PATEL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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