10D2216842 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2216842
  • Facility Name: WALGREEN CO
  • Facility Address: 2940 S MCCALL RD
    ENGLEWOOD, FL
    ZIP 34224
  • Facility Phone: 941 475-8030
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AIMEE L. TAGUE
  • NPI Number: 1649285834
  • Taxonomy: 333600000X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2025
Certificate Expiration Date 3/15/2027
Facility Type Pharmacy
Lab Director AIMEE L. TAGUE

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This page was last updated on: 6/4/2025