10D2059157 CLIA NUMBER - WALGREENS CO

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Laboratory Demographics

CLIA Number: 10D2059157

Facility Name: WALGREENS CO

Facility Address:
20020 CORTEZ BLVD
BROOKSVILLE, FL
ZIP 34601
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Facility Phone Number: 352 799-9545

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1164437281

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	10D2059157
LAB Type	Pharmacy
Facility Name	WALGREENS CO
Street	20020 CORTEZ BLVD
City	BROOKSVILLE
State	FL
ZIP	34601
Phone	352 799-9545
CertificateType	4
CertificateEffectiveDate	3/25/2023
CertificateExpirationDate	3/24/2025
FacilityType	Waiver

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