10D2040041 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2040041
  • Facility Name: WALGREEN CO
  • Facility Address: 2237 W NINE MILE RD WALGREENS #10181
    PENSACOLA, FL
    ZIP 32534
  • Facility Phone: 850 473-0286
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACK H. RANDOLPH
  • NPI Number: 1184755274
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2040041
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 2237 W NINE MILE RD WALGREENS #10181
City PENSACOLA
State FL
ZIP 32534
Phone 850 473-0286
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2023
Certificate Expiration Date 11/9/2025
Facility Type Pharmacy
Lab Director JACK H. RANDOLPH

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