10D2071726 CLIA NUMBER - WALGREEN CO

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Laboratory Demographics

CLIA Number: 10D2071726

Facility Name: WALGREEN CO

Facility Address:
8951 HUDSON AVE
HUDSON, FL
ZIP 34667
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Facility Phone Number: 727 869-7224

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1083620520

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	10D2071726
LAB Type	Pharmacy
Facility Name	WALGREEN CO
Street	8951 HUDSON AVE
City	HUDSON
State	FL
ZIP	34667
Phone	727 869-7224
CertificateType	4
CertificateEffectiveDate	5/21/2023
CertificateExpirationDate	5/20/2025
FacilityType	Waiver

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