10D2215606 CLIA NUMBER - WALGREENS CO

Laboratory Demographics

  • CLIA Code: 10D2215606
  • Facility Name: WALGREENS CO
  • Facility Address: 4774 S SEMORAN BLVD
    ORLANDO, FL
    ZIP 32822
  • Facility Phone: 407 273-9399
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: IVELISSE CASTRESANA CASTRO
  • NPI Number: 1184639320
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2215606
LAB Type Pharmacy
Facility Name WALGREENS CO
Street 4774 S SEMORAN BLVD
City ORLANDO
State FL
ZIP 32822
Phone 407 273-9399
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2025
Certificate Expiration Date 3/3/2027
Facility Type Pharmacy
Lab Director IVELISSE CASTRESANA CASTRO

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