10D2221472 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2221472
  • Facility Name: WALGREEN CO
  • Facility Address: 4747 GOLDEN GATE PKWY
    NAPLES, FL
    ZIP 34116
  • Facility Phone: 239 304-1154
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSAN HANNA
  • NPI Number: 1477717031
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2221472
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 4747 GOLDEN GATE PKWY
City NAPLES
State FL
ZIP 34116
Phone 239 304-1154
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2025
Certificate Expiration Date 4/20/2027
Facility Type Pharmacy
Lab Director SUSAN HANNA

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