10D2014309 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2014309
  • Facility Name: WALGREEN CO
  • Facility Address: 1705 US HWY 1
    VERO BEACH, FL
    ZIP 32960
  • Facility Phone: 772 569-1414
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HAZEM M. ELURI
  • NPI Number: 1003823089
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2014309
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 1705 US HWY 1
City VERO BEACH
State FL
ZIP 32960
Phone 772 569-1414
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/2/2025
Certificate Expiration Date 4/1/2027
Facility Type Pharmacy
Lab Director HAZEM M. ELURI

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