10D2068765 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2068765
  • Facility Name: WALGREEN CO
  • Facility Address: 395 CYPRESS PKWY
    KISSIMMEE, FL
    ZIP 34759
  • Facility Phone: 407 343-8224
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEPHENIE F. WALKER
  • NPI Number: 1174696066
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2068765
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 395 CYPRESS PKWY
City KISSIMMEE
State FL
ZIP 34759
Phone 407 343-8224
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2025
Certificate Expiration Date 5/24/2027
Facility Type Pharmacy
Lab Director STEPHENIE F. WALKER

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