10D2220089 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2220089
  • Facility Name: WALGREEN CO
  • Facility Address: 105 MARINER BLVD
    SPRING HILL, FL
    ZIP 34609
  • Facility Phone: 352 200-5835
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TRINH-NGUYEN HUYNH
  • NPI Number: 1891700068
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2220089
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 105 MARINER BLVD
City SPRING HILL
State FL
ZIP 34609
Phone 352 200-5835
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/9/2025
Certificate Expiration Date 4/8/2027
Facility Type Pharmacy
Lab Director TRINH-NGUYEN HUYNH

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