10D2040574 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2040574
  • Facility Name: WALGREEN CO
  • Facility Address: 200 W STATE RD STE 436
    ALTAMONTE SPRINGS, FL
    ZIP 32714
  • Facility Phone: 407 389-0476
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUKAINA VIRANI
  • NPI Number: 1275602062
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2040574
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 200 W STATE RD STE 436
City ALTAMONTE SPRINGS
State FL
ZIP 32714
Phone 407 389-0476
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/5/2025
Certificate Expiration Date 8/4/2027
Facility Type Pharmacy
Lab Director SUKAINA VIRANI

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