10D2216842 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

CLIA Number: 10D2216842

Facility Name: WALGREEN CO

Facility Address:
2940 S MCCALL RD
ENGLEWOOD, FL
ZIP 34224
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Facility Phone Number: 941 475-8030

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1649285834

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	10D2216842
LAB Type	Pharmacy
Facility Name	WALGREEN CO
Street	2940 S MCCALL RD
City	ENGLEWOOD
State	FL
ZIP	34224
Phone	941 475-8030
CertificateType	4
CertificateEffectiveDate	3/16/2023
CertificateExpirationDate	3/15/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024