10D2220302 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2220302
  • Facility Name: WALGREEN CO
  • Facility Address: 14040 W NEWBERRY RD
    NEWBERRY, FL
    ZIP 32669
  • Facility Phone: 352 332-6255
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HOANGH T. NGO
  • NPI Number: 1609039916
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2220302
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 14040 W NEWBERRY RD
City NEWBERRY
State FL
ZIP 32669
Phone 352 332-6255
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2025
Certificate Expiration Date 4/11/2027
Facility Type Pharmacy
Lab Director HOANGH T. NGO

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This page was last updated on: 6/4/2025