10D2221007 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2221007
  • Facility Name: WALGREEN CO
  • Facility Address: 5903 S ORANGE BLOSSOM TRAIL
    ORLANDO, FL
    ZIP 32809
  • Facility Phone: 407 240-6199
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. GUILDA OUELLETTE
  • NPI Number: 1205011673
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2221007
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 5903 S ORANGE BLOSSOM TRAIL
City ORLANDO
State FL
ZIP 32809
Phone 407 240-6199
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2025
Certificate Expiration Date 4/15/2027
Facility Type Pharmacy
Lab Director DR. GUILDA OUELLETTE

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