10D2221594 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2221594
  • Facility Name: WALGREEN CO
  • Facility Address: 14415 ARBOR GREEN TRL
    BRADENTON, FL
    ZIP 34202
  • Facility Phone: 941 739-5752
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KARL M. NATTER
  • NPI Number: 1366692972
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2221594
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 14415 ARBOR GREEN TRL
City BRADENTON
State FL
ZIP 34202
Phone 941 739-5752
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 KARL M. NATTER

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