10D2216304 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2216304
  • Facility Name: WALGREEN CO
  • Facility Address: 2495 N MCMULLEN BOOTH RD
    CLEARWATER, FL
    ZIP 33759
  • Facility Phone: 727 726-8894
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: MICHAEL BOTOUROGLOU
  • NPI Number: 1962417170
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2216304
LAB Type Prison
Facility Name WALGREEN CO
Street 2495 N MCMULLEN BOOTH RD
City CLEARWATER
State FL
ZIP 33759
Phone 727 726-8894
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 Prison
Lab Director MICHAEL BOTOUROGLOU

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