10D2221130 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2221130
  • Facility Name: WALGREEN CO
  • Facility Address: 5701 GULFPORT BLVD S
    GULFPORT, FL
    ZIP 33707
  • Facility Phone: 727 344-3701
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEVEN J. COPELAND
  • NPI Number: 1649285867
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2221130
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 5701 GULFPORT BLVD S
City GULFPORT
State FL
ZIP 33707
Phone 727 344-3701
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 STEVEN J. COPELAND

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