10D2222963 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2222963
  • Facility Name: WALGREEN CO
  • Facility Address: 4096 MARINER BLVD
    SPRING HILL, FL
    ZIP 34609
  • Facility Phone: (352) 200-5031
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KEOSAN O. CHOI
  • NPI Number: 1770724023
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2222963
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 4096 MARINER BLVD
City SPRING HILL
State FL
ZIP 34609
Phone 3522005031
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2025
Certificate Expiration Date 5/2/2027
Facility Type Pharmacy
Lab Director KEOSAN O. CHOI

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This page was last updated on: 5/18/2026