10D2033018 CLIA NUMBER - WALGREENS CO

Laboratory Demographics

  • CLIA Code: 10D2033018
  • Facility Name: WALGREENS CO
  • Facility Address: 3593 CLEVELAND AVE
    FORT MYERS, FL
    ZIP 33901
  • Facility Phone: 239 936-4741
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CARISSA J. MORERA
  • NPI Number: 1508871856
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2033018
LAB Type Pharmacy
Facility Name WALGREENS CO
Street 3593 CLEVELAND AVE
City FORT MYERS
State FL
ZIP 33901
Phone 239 936-4741
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/6/2025
Certificate Expiration Date 1/5/2027
Facility Type Pharmacy
Lab Director CARISSA J. MORERA

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