10D2218717 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2218717
  • Facility Name: WALGREEN CO
  • Facility Address: 101 W ARDICE AVE
    EUSTIS, FL
    ZIP 32726
  • Facility Phone: 352 589-5062
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRIJESH S. MARU
  • NPI Number: 1659387033
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2218717
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 101 W ARDICE AVE
City EUSTIS
State FL
ZIP 32726
Phone 352 589-5062
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2025
Certificate Expiration Date 3/29/2027
Facility Type Pharmacy
Lab Director BRIJESH S. MARU

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