10D2040046 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2040046
  • Facility Name: WALGREEN CO
  • Facility Address: 4497 MOBILE HWY
    PENSACOLA, FL
    ZIP 32506
  • Facility Phone: 850 453-4848
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MOLOKAI TERMOS
  • NPI Number: 1730357005
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2040046
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 4497 MOBILE HWY
City PENSACOLA
State FL
ZIP 32506
Phone 850 453-4848
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2025
Certificate Expiration Date 5/9/2027
Facility Type Pharmacy
Lab Director MOLOKAI TERMOS

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