10D2039207 CLIA NUMBER - WALGREEN CO

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Laboratory Demographics

CLIA Number: 10D2039207

Facility Name: WALGREEN CO

Facility Address:
870 E CERVANTES ST
PENSACOLA, FL
ZIP 32501
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Facility Phone Number: 850 434-5561

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1265447437

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	10D2039207
LAB Type	Pharmacy
Facility Name	WALGREEN CO
Street	870 E CERVANTES ST
City	PENSACOLA
State	FL
ZIP	32501
Phone	850 434-5561
CertificateType	4
CertificateEffectiveDate	11/18/2023
CertificateExpirationDate	11/17/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024