10D2220467 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2220467
  • Facility Name: WALGREEN CO
  • Facility Address: 2110 E STATE ROAD 60
    VALRICO, FL
    ZIP 33594
  • Facility Phone: 813 657-5545
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KENYA GAMBRELL BATTLE
  • NPI Number: 1205843380
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2220467
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 2110 E STATE ROAD 60
City VALRICO
State FL
ZIP 33594
Phone 813 657-5545
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2025
Certificate Expiration Date 4/12/2027
Facility Type Pharmacy
Lab Director KENYA GAMBRELL BATTLE

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