10D2040039 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2040039
  • Facility Name: WALGREEN CO
  • Facility Address: 1459 TIGER PARK LN
    GULF BREEZE, FL
    ZIP 32563
  • Facility Phone: 850 916-1955
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ELIZABETH A. WHIBBS
  • NPI Number: 1275548455
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2040039
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 1459 TIGER PARK LN
City GULF BREEZE
State FL
ZIP 32563
Phone 850 916-1955
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2025
Certificate Expiration Date 7/8/2027
Facility Type Pharmacy
Lab Director ELIZABETH A. WHIBBS

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