10D2206538 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2206538
  • Facility Name: WALGREEN CO
  • Facility Address: 2235 PARR DR
    LADY LAKE, FL
    ZIP 32162
  • Facility Phone: 321 297-8563
  • Facility Type: Other - COVID-19 TESTING SITE
  • Facility Type: Waiver
  • Lab Director: VENU M. KOLLI
  • NPI Number: 1346361326
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2206538
LAB Type Other - COVID-19 TESTING SITE
Facility Name WALGREEN CO
Street 2235 PARR DR
City LADY LAKE
State FL
ZIP 32162
Phone 321 297-8563
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2024
Certificate Expiration Date 12/20/2026
Facility Type Other - COVID-19 TESTING SITE
Lab Director VENU M. KOLLI

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