10D2219204 CLIA NUMBER - WALGREEN CO

Home > CLIA Lookup > 10D2219204

Laboratory Demographics

CLIA Number: 10D2219204

Facility Name: WALGREEN CO

Facility Address:
13613 US HWY 1
SEBASTIAN, FL
ZIP 32958
Get Directions

Facility Phone Number: 772 589-6477

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1215944202

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	10D2219204
LAB Type	Pharmacy
Facility Name	WALGREEN CO
Street	13613 US HWY 1
City	SEBASTIAN
State	FL
ZIP	32958
Phone	772 589-6477
CertificateType	4
CertificateEffectiveDate	4/2/2023
CertificateExpirationDate	4/1/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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