10D2013723 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2013723
  • Facility Name: WALGREEN CO
  • Facility Address: 13053 CORTEZ BLVD
    BROOKSVILLE, FL
    ZIP 34613
  • Facility Phone: 352 596-0571
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MELISSA R. RAKAUSKAS
  • NPI Number: 1083629117
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2013723
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 13053 CORTEZ BLVD
City BROOKSVILLE
State FL
ZIP 34613
Phone 352 596-0571
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2023
Certificate Expiration Date 11/18/2025
Facility Type Pharmacy
Lab Director MELISSA R. RAKAUSKAS

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