10D2221586 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2221586
  • Facility Name: WALGREEN CO
  • Facility Address: 24170 HIGHWAY 27
    LAKE WALES, FL
    ZIP 33859
  • Facility Phone: 863 676-7569
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHELSEY DZIEKIEWICZ
  • NPI Number: 1225282833
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2221586
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 24170 HIGHWAY 27
City LAKE WALES
State FL
ZIP 33859
Phone 863 676-7569
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2025
Certificate Expiration Date 4/21/2027
Facility Type Pharmacy
Lab Director CHELSEY DZIEKIEWICZ

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