10D2206496 CLIA NUMBER - WALGREEN CO

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Laboratory Demographics

CLIA Number: 10D2206496

Facility Name: WALGREEN CO

Facility Address:
6818 N ARMENIA AVE
TAMPA, FL
ZIP 33604
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Facility Phone Number: 813 931-3363

Facility Type: Other - COVID 19 TESTING SITE

Certificate Type: Waiver

NPI Number: 1194730325

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	10D2206496
LAB Type	Other - COVID 19 TESTING SITE
Facility Name	WALGREEN CO
Street	6818 N ARMENIA AVE
City	TAMPA
State	FL
ZIP	33604
Phone	813 931-3363
CertificateType	4
CertificateEffectiveDate	12/21/2022
CertificateExpirationDate	12/20/2024
FacilityType	Waiver

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