10D2057213 CLIA NUMBER - WALGREEN CO

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Laboratory Demographics

CLIA Number: 10D2057213

Facility Name: WALGREEN CO

Facility Address:
5171 NW 43RD ST
GAINESVILLE, FL
ZIP 32606
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Facility Phone Number: 352 372-8786

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1538326848

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	10D2057213
LAB Type	Pharmacy
Facility Name	WALGREEN CO
Street	5171 NW 43RD ST
City	GAINESVILLE
State	FL
ZIP	32606
Phone	352 372-8786
CertificateType	4
CertificateEffectiveDate	3/30/2023
CertificateExpirationDate	3/29/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024