10D2221267 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2221267
  • Facility Name: WALGREEN CO
  • Facility Address: 14405 BEACH BLVD
    JACKSONVILLE, FL
    ZIP 32250
  • Facility Phone: 904 223-5017
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ABU M. AMJAD
  • NPI Number: 1881601870
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2221267
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 14405 BEACH BLVD
City JACKSONVILLE
State FL
ZIP 32250
Phone 904 223-5017
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2025
Certificate Expiration Date 4/19/2027
Facility Type Pharmacy
Lab Director ABU M. AMJAD

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