10D2219209 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2219209
  • Facility Name: WALGREEN CO
  • Facility Address: 9998 FRONT BEACH RD
    PANAMA CITY BEACH, FL
    ZIP 32407
  • Facility Phone: 850 236-1383
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JARVIS L. ROBINSON
  • NPI Number: 1447265699
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2219209
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 9998 FRONT BEACH RD
City PANAMA CITY BEACH
State FL
ZIP 32407
Phone 850 236-1383
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 JARVIS L. ROBINSON

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