10D2213800 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2213800
  • Facility Name: WALGREEN CO
  • Facility Address: 3863 S DALE MABRY HWY
    TAMPA, FL
    ZIP 33611
  • Facility Phone: 813 839-6187
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LARRY FRITCH
  • NPI Number: 1356358436
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2213800
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 3863 S DALE MABRY HWY
City TAMPA
State FL
ZIP 33611
Phone 813 839-6187
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/17/2025
Certificate Expiration Date 2/16/2027
Facility Type Pharmacy
Lab Director LARRY FRITCH

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