10D2215685 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2215685
  • Facility Name: WALGREEN CO
  • Facility Address: 3425 53 RD AVE W
    BRADENTON, FL
    ZIP 34210
  • Facility Phone: 941 752-7997
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RAVEN N. GALYEN
  • NPI Number: 1659386837
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2215685
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 3425 53 RD AVE W
City BRADENTON
State FL
ZIP 34210
Phone 941 752-7997
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2025
Certificate Expiration Date 3/4/2027
Facility Type Pharmacy
Lab Director RAVEN N. GALYEN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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