10D2221125 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2221125
  • Facility Name: WALGREEN CO
  • Facility Address: 300 E NEW YORK AVE
    DELAND, FL
    ZIP 32724
  • Facility Phone: (386) 943-4011
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VITALIA ALEXANDROV
  • NPI Number: 1093977084
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2221125
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 300 E NEW YORK AVE
City DELAND
State FL
ZIP 32724
Phone 3869434011
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/19/2025
Certificate Expiration Date 4/18/2027
Facility Type Pharmacy
Lab Director VITALIA ALEXANDROV

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This page was last updated on: 5/18/2026