10D2036398 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2036398
  • Facility Name: WALGREEN CO
  • Facility Address: 5990 TOWNSEND RD
    JACKSONVILLE, FL
    ZIP 32244
  • Facility Phone: 904 771-1987
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SRINIVAS SAMA
  • NPI Number: 1962417162
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2036398
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 5990 TOWNSEND RD
City JACKSONVILLE
State FL
ZIP 32244
Phone 904 771-1987
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2025
Certificate Expiration Date 8/1/2027
Facility Type Pharmacy
Lab Director SRINIVAS SAMA

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