10D2219204 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2219204
  • Facility Name: WALGREEN CO
  • Facility Address: 13613 US HWY 1
    SEBASTIAN, FL
    ZIP 32958
  • Facility Phone: 772 589-6477
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: FRANK J. CATALA
  • NPI Number: 1215944202
  • Taxonomy: 333600000X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/2/2025
Certificate Expiration Date 4/1/2027
Facility Type Pharmacy
Lab Director FRANK J. CATALA

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