10D2057260 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2057260
  • Facility Name: WALGREEN CO
  • Facility Address: 115 N LAWRENCE BLVD
    KEYSTONE HEIGHTS, FL
    ZIP 32656
  • Facility Phone: 352 473-4621
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL J. SAVETTIERE
  • NPI Number: 1841205036
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2057260
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 115 N LAWRENCE BLVD
City KEYSTONE HEIGHTS
State FL
ZIP 32656
Phone 352 473-4621
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2025
Certificate Expiration Date 7/28/2027
Facility Type Pharmacy
Lab Director MICHAEL J. SAVETTIERE

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