10D2216962 CLIA NUMBER - WALGREENS CO

Laboratory Demographics

  • CLIA Code: 10D2216962
  • Facility Name: WALGREENS CO
  • Facility Address: 3001 TAMIAMI TRAIL
    PORT CHARLOTTE, FL
    ZIP 33952
  • Facility Phone: 941 235-6399
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ADINA RAVENSWOOD
  • NPI Number: 1255654711
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2216962
LAB Type Pharmacy
Facility Name WALGREENS CO
Street 3001 TAMIAMI TRAIL
City PORT CHARLOTTE
State FL
ZIP 33952
Phone 941 235-6399
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2025
Certificate Expiration Date 3/16/2027
Facility Type Pharmacy
Lab Director ADINA RAVENSWOOD

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