10D2137401 CLIA NUMBER - WALGREEN CO DBA CENTER FOR LIVING WELL FAMILY HEALTH CARE PHARMACY

Laboratory Demographics

  • CLIA Code: 10D2137401
  • Facility Name: WALGREEN CO DBA CENTER FOR LIVING WELL FAMILY HEALTH CARE PHARMACY
  • Facility Address: 960 BACK STAGE LANE
    ORLANDO, FL
    ZIP 32830
  • Facility Phone: 407 934-2030
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JASON C. HUNKELE
  • NPI Number: 1912172529
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2137401
LAB Type Pharmacy
Facility Name WALGREEN CO DBA CENTER FOR LIVING WELL FAMILY HEALTH CARE PHARMACY
Street 960 BACK STAGE LANE
City ORLANDO
State FL
ZIP 32830
Phone 407 934-2030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/26/2025
Certificate Expiration Date 9/25/2027
Facility Type Pharmacy
Lab Director JASON C. HUNKELE

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