10D2029882 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2029882
  • Facility Name: WALGREEN CO
  • Facility Address: 9150 KINGS CROSSING RD
    FORT MYERS, FL
    ZIP 33912
  • Facility Phone: 239 284-1702
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANDREW D. SMITH
  • NPI Number: 1003112335
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2029882
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 9150 KINGS CROSSING RD
City FORT MYERS
State FL
ZIP 33912
Phone 239 284-1702
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/26/2023
Certificate Expiration Date 7/25/2025
Facility Type Pharmacy
Lab Director ANDREW D. SMITH

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