10D2220100 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2220100
  • Facility Name: WALGREEN CO
  • Facility Address: 35553 US HIGHWAY 19 N
    PALM HARBOR, FL
    ZIP 34684
  • Facility Phone: 727 781-2360
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PAMELA S. MARTH
  • NPI Number: 1104831387
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2220100
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 35553 US HIGHWAY 19 N
City PALM HARBOR
State FL
ZIP 34684
Phone 727 781-2360
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 PAMELA S. MARTH

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