10D2014306 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2014306
  • Facility Name: WALGREEN CO
  • Facility Address: 6314 N 9TH AVE
    PENSACOLA, FL
    ZIP 32504
  • Facility Phone: 850 479-2544
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TUAN Q. KHUU
  • NPI Number: 1619982873
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2014306
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 6314 N 9TH AVE
City PENSACOLA
State FL
ZIP 32504
Phone 850 479-2544
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2025
Certificate Expiration Date 10/22/2027
Facility Type Pharmacy
Lab Director TUAN Q. KHUU

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