10D2033508 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2033508
  • Facility Name: WALGREEN CO
  • Facility Address: 8802 W COLONIAL DR
    OCOEE, FL
    ZIP 34761
  • Facility Phone: 407 548-2283
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PRISCA DAPHNEE R. MOMPREMIER
  • NPI Number: 1184639353
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2033508
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 8802 W COLONIAL DR
City OCOEE
State FL
ZIP 34761
Phone 407 548-2283
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2025
Certificate Expiration Date 4/19/2027
Facility Type Pharmacy
Lab Director PRISCA DAPHNEE R. MOMPREMIER

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