10D2215679 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

CLIA Number: 10D2215679

Facility Name: WALGREEN CO

Facility Address:
8315 MARKET ST
LAKEWOOD RANCH, FL
ZIP 34202
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Facility Phone Number: 941 907-2686

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1003821281

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	10D2215679
LAB Type	Pharmacy
Facility Name	WALGREEN CO
Street	8315 MARKET ST
City	LAKEWOOD RANCH
State	FL
ZIP	34202
Phone	941 907-2686
CertificateType	4
CertificateEffectiveDate	3/5/2023
CertificateExpirationDate	3/4/2025
FacilityType	Waiver

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