10D2216295 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2216295
  • Facility Name: WALGREEN CO
  • Facility Address: 99501 OVERSEAS HWY
    KEY LARGO, FL
    ZIP 33037
  • Facility Phone: 305 451-4385
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MAYLEN MESA
  • NPI Number: 1770598963
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2216295
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 99501 OVERSEAS HWY
City KEY LARGO
State FL
ZIP 33037
Phone 305 451-4385
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/11/2025
Certificate Expiration Date 3/10/2027
Facility Type Pharmacy
Lab Director MAYLEN MESA

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This page was last updated on: 3/20/2025