10D2216331 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2216331
  • Facility Name: WALGREEN CO
  • Facility Address: 8400 US HWY 19 N
    PORT RICHEY, FL
    ZIP 34668
  • Facility Phone: 727 842-3557
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STACY HILL
  • NPI Number: 1316952518
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2216331
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 8400 US HWY 19 N
City PORT RICHEY
State FL
ZIP 34668
Phone 727 842-3557
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 STACY HILL

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