10D2219285 CLIA NUMBER - WALGREENS CO

Laboratory Demographics

  • CLIA Code: 10D2219285
  • Facility Name: WALGREENS CO
  • Facility Address: 542356 US HWY 1
    CALLAHAN, FL
    ZIP 32011
  • Facility Phone: 904 507-2649
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DORIAN J. AUSTIN
  • NPI Number: 1528369063
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2219285
LAB Type Pharmacy
Facility Name WALGREENS CO
Street 542356 US HWY 1
City CALLAHAN
State FL
ZIP 32011
Phone 904 507-2649
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2025
Certificate Expiration Date 4/4/2027
Facility Type Pharmacy
Lab Director DORIAN J. AUSTIN

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