10D2219052 CLIA NUMBER - WALGREEN CO

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Laboratory Demographics

CLIA Number: 10D2219052

Facility Name: WALGREEN CO

Facility Address:
2575 NE HIGHWAY 70
ARCADIA, FL
ZIP 34266
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Facility Phone Number: 863 491-1023

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1790936300

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	10D2219052
LAB Type	Pharmacy
Facility Name	WALGREEN CO
Street	2575 NE HIGHWAY 70
City	ARCADIA
State	FL
ZIP	34266
Phone	863 491-1023
CertificateType	4
CertificateEffectiveDate	4/1/2023
CertificateExpirationDate	3/31/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024