10D2029885 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2029885
  • Facility Name: WALGREEN CO
  • Facility Address: 12211 W HILLSBOROUGH AVE
    TAMPA, FL
    ZIP 33635
  • Facility Phone: 813 925-1100
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAHAANH ACREE
  • NPI Number: 1184639346
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2029885
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 12211 W HILLSBOROUGH AVE
City TAMPA
State FL
ZIP 33635
Phone 813 925-1100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2023
Certificate Expiration Date 6/30/2025
Facility Type Pharmacy
Lab Director LAHAANH ACREE

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This page was last updated on: 6/4/2025