10D2068764 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2068764
  • Facility Name: WALGREEN CO
  • Facility Address: 45549 HWY 27
    DAVENPORT, FL
    ZIP 33897
  • Facility Phone: 863 420-6120
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DOUGLAS L. HEALY
  • NPI Number: 1811902083
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2068764
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 45549 HWY 27
City DAVENPORT
State FL
ZIP 33897
Phone 863 420-6120
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2025
Certificate Expiration Date 8/3/2027
Facility Type Pharmacy
Lab Director DOUGLAS L. HEALY

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