10D2217822 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2217822
  • Facility Name: WALGREEN CO
  • Facility Address: 9427 S SUNCOAST BLVD
    HOMOSASSA, FL
    ZIP 34446
  • Facility Phone: 352 382-0520
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOHN GOSSETT
  • NPI Number: 1497951586
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2217822
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 9427 S SUNCOAST BLVD
City HOMOSASSA
State FL
ZIP 34446
Phone 352 382-0520
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Pharmacy
Lab Director JOHN GOSSETT

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