10D2208654 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2208654
  • Facility Name: WALGREEN CO
  • Facility Address: 12041 PALM BEACH BLVD
    FORT MYERS, FL
    ZIP 33905
  • Facility Phone: 239 693-8829
  • Facility Type: Other - COVID 19 TEST SITE
  • Facility Type: Waiver
  • Lab Director: PAUL J. DREABIT
  • NPI Number: 1598956435
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2208654
LAB Type Other - COVID 19 TEST SITE
Facility Name WALGREEN CO
Street 12041 PALM BEACH BLVD
City FORT MYERS
State FL
ZIP 33905
Phone 239 693-8829
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2025
Certificate Expiration Date 1/6/2027
Facility Type Other - COVID 19 TEST SITE
Lab Director PAUL J. DREABIT

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