10D2059157 CLIA NUMBER - WALGREENS CO

Laboratory Demographics

  • CLIA Code: 10D2059157
  • Facility Name: WALGREENS CO
  • Facility Address: 20020 CORTEZ BLVD
    BROOKSVILLE, FL
    ZIP 34601
  • Facility Phone: 352 799-9545
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NEVIN JOSE
  • NPI Number: 1164437281
  • Taxonomy: 333600000X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Pharmacy
Lab Director NEVIN JOSE

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