10D2217835 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2217835
  • Facility Name: WALGREEN CO
  • Facility Address: 395 E VAN FLEET DR
    BARTOW, FL
    ZIP 33830
  • Facility Phone: 863 533-6669
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSAN B. ALEX
  • NPI Number: 1245245364
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2217835
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 395 E VAN FLEET DR
City BARTOW
State FL
ZIP 33830
Phone 863 533-6669
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 SUSAN B. ALEX

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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