10D2051749 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2051749
  • Facility Name: WALGREEN CO
  • Facility Address: 2991 ROOSEVELT BLVD
    CLEARWATER, FL
    ZIP 33760
  • Facility Phone: 727 538-5660
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RENDOL WHIDDEN
  • NPI Number: 1366457541
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2051749
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 2991 ROOSEVELT BLVD
City CLEARWATER
State FL
ZIP 33760
Phone 727 538-5660
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2025
Certificate Expiration Date 7/29/2027
Facility Type Pharmacy
Lab Director RENDOL WHIDDEN

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