10D2222273 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2222273
  • Facility Name: WALGREEN CO
  • Facility Address: 1098 HIGHWAY A1A
    SATELLITE BEACH, FL
    ZIP 32937
  • Facility Phone: 321 779-0019
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KEVIN R. HALL
  • NPI Number: 1912912197
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2222273
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 1098 HIGHWAY A1A
City SATELLITE BEACH
State FL
ZIP 32937
Phone 321 779-0019
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2025
Certificate Expiration Date 4/27/2027
Facility Type Pharmacy
Lab Director KEVIN R. HALL

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This page was last updated on: 6/4/2025