10D2018931 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2018931
  • Facility Name: WALGREEN CO
  • Facility Address: 2101 SADLER RD
    FERNANDINA BEACH, FL
    ZIP 32034
  • Facility Phone: 904 277-9615
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: QUIANA A. WILSON KING
  • NPI Number: 1447265673
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2018931
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 2101 SADLER RD
City FERNANDINA BEACH
State FL
ZIP 32034
Phone 904 277-9615
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2025
Certificate Expiration Date 6/30/2027
Facility Type Pharmacy
Lab Director QUIANA A. WILSON KING

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