10D2191474 CLIA NUMBER - WALGREENS CO

Laboratory Demographics

  • CLIA Code: 10D2191474
  • Facility Name: WALGREENS CO
  • Facility Address: 6370 BAYSHORE RD
    N FT MYERS, FL
    ZIP 33917
  • Facility Phone: 239 656-1424
  • Facility Type: Other - COVID 19 TEST SITE
  • Facility Type: Waiver
  • Lab Director: SHELLETTA TILGHMAN
  • NPI Number: 1154528495
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2191474
LAB Type Other - COVID 19 TEST SITE
Facility Name WALGREENS CO
Street 6370 BAYSHORE RD
City N FT MYERS
State FL
ZIP 33917
Phone 239 656-1424
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/27/2024
Certificate Expiration Date 8/26/2026
Facility Type Other - COVID 19 TEST SITE
Lab Director SHELLETTA TILGHMAN

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