10D2059155 CLIA NUMBER - WALGREENS #10670

Laboratory Demographics

  • CLIA Code: 10D2059155
  • Facility Name: WALGREENS #10670
  • Facility Address: 17970 N TAMIAMI TRL
    N FT MYERS, FL
    ZIP 33903
  • Facility Phone: 847 527-3972
  • Facility Type: Other - COVID 19 TEST SITE
  • Facility Type: Waiver
  • Lab Director: XING X. CAO
  • NPI Number: 1164762357
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2059155
LAB Type Other - COVID 19 TEST SITE
Facility Name WALGREENS #10670
Street 17970 N TAMIAMI TRL
City N FT MYERS
State FL
ZIP 33903
Phone 847 527-3972
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/6/2025
Certificate Expiration Date 1/5/2027
Facility Type Other - COVID 19 TEST SITE
Lab Director XING X. CAO

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