10D2216990 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2216990
  • Facility Name: WALGREEN CO
  • Facility Address: 611 BURNT STORE RD S
    CAPE CORAL, FL
    ZIP 33991
  • Facility Phone: 239 690-4939
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AARON A. WENSINK
  • NPI Number: 1518295997
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2216990
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 611 BURNT STORE RD S
City CAPE CORAL
State FL
ZIP 33991
Phone 239 690-4939
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 AARON A. WENSINK

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