10D2020884 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2020884
  • Facility Name: WALGREEN CO
  • Facility Address: 30280 US HWY 19 N
    CLEARWATER, FL
    ZIP 33761
  • Facility Phone: 727 282-1003
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHERYL L. RITZENTHALER
  • NPI Number: 1629379862
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2020884
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 30280 US HWY 19 N
City CLEARWATER
State FL
ZIP 33761
Phone 727 282-1003
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2023
Certificate Expiration Date 6/3/2025
Facility Type Pharmacy
Lab Director CHERYL L. RITZENTHALER

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This page was last updated on: 3/20/2025