10D2219314 CLIA NUMBER - WALGREEN CO

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Laboratory Demographics

CLIA Number: 10D2219314

Facility Name: WALGREEN CO

Facility Address:
6680 THOMASVILLE RD
TALLAHASSEE, FL
ZIP 32312
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Facility Phone Number: 850 907-1763

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1851306047

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	10D2219314
LAB Type	Pharmacy
Facility Name	WALGREEN CO
Street	6680 THOMASVILLE RD
City	TALLAHASSEE
State	FL
ZIP	32312
Phone	850 907-1763
CertificateType	4
CertificateEffectiveDate	4/5/2023
CertificateExpirationDate	4/4/2025
FacilityType	Waiver

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