10D2033505 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2033505
  • Facility Name: WALGREEN CO
  • Facility Address: 890 N US HWY 441
    LADY LAKE, FL
    ZIP 32159
  • Facility Phone: 352 753-3257
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHELLE HUYNH
  • NPI Number: 1427065507
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2033505
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 890 N US HWY 441
City LADY LAKE
State FL
ZIP 32159
Phone 352 753-3257
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2025
Certificate Expiration Date 5/31/2027
Facility Type Pharmacy
Lab Director MICHELLE HUYNH

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This page was last updated on: 9/29/2025