10D2221597 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2221597
  • Facility Name: WALGREEN CO
  • Facility Address: 10801 ROOSEVELT BLVD N
    SAINT PETERSBURG, FL
    ZIP 33716
  • Facility Phone: 727 576-7714
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CURT GREEN
  • NPI Number: 1649285784
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2221597
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 10801 ROOSEVELT BLVD N
City SAINT PETERSBURG
State FL
ZIP 33716
Phone 727 576-7714
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 CURT GREEN

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