10D2222738 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2222738
  • Facility Name: WALGREEN CO
  • Facility Address: 1841 LITTLE RD
    TRINITY, FL
    ZIP 34655
  • Facility Phone: 727 375-2077
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DOMINIKA O. TOWNSEND
  • NPI Number: 1114934197
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2222738
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 1841 LITTLE RD
City TRINITY
State FL
ZIP 34655
Phone 727 375-2077
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2025
Certificate Expiration Date 4/29/2027
Facility Type Pharmacy
Lab Director DOMINIKA O. TOWNSEND

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