10D2223046 CLIA NUMBER - WALGREENS CO

Laboratory Demographics

  • CLIA Code: 10D2223046
  • Facility Name: WALGREENS CO
  • Facility Address: 1603 S US HIGHWAY 1
    FORT PIERCE, FL
    ZIP 34950
  • Facility Phone: 772 466-6934
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENIFER L. NEIMAN
  • NPI Number: 1255347647
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2223046
LAB Type Pharmacy
Facility Name WALGREENS CO
Street 1603 S US HIGHWAY 1
City FORT PIERCE
State FL
ZIP 34950
Phone 772 466-6934
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2025
Certificate Expiration Date 5/3/2027
Facility Type Pharmacy
Lab Director JENIFER L. NEIMAN

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