10D2029653 CLIA NUMBER - WALGREEN CO

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Laboratory Demographics

CLIA Number: 10D2029653

Facility Name: WALGREEN CO

Facility Address:
140 CAPITAL CIRCLE SW
TALLAHASSEE, FL
ZIP 32304
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Facility Phone Number: 850 575-0063

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1538373659

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	10D2029653
LAB Type	Pharmacy
Facility Name	WALGREEN CO
Street	140 CAPITAL CIRCLE SW
City	TALLAHASSEE
State	FL
ZIP	32304
Phone	850 575-0063
CertificateType	4
CertificateEffectiveDate	4/19/2023
CertificateExpirationDate	4/18/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024