10D2215692 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2215692
  • Facility Name: WALGREEN CO
  • Facility Address: 5405 66TH ST N
    SAINT PETERSBURG, FL
    ZIP 33709
  • Facility Phone: 727 544-3008
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LESLIE WAGNER
  • NPI Number: 1093720278
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2215692
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 5405 66TH ST N
City SAINT PETERSBURG
State FL
ZIP 33709
Phone 727 544-3008
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 LESLIE WAGNER

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