10D2224107 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2224107
  • Facility Name: WALGREEN CO
  • Facility Address: 10697 ULMERTON RD
    LARGO, FL
    ZIP 33771
  • Facility Phone: 727 584-5587
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PETER GANIO JR
  • NPI Number: 1528075603
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2224107
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 10697 ULMERTON RD
City LARGO
State FL
ZIP 33771
Phone 727 584-5587
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2025
Certificate Expiration Date 5/11/2027
Facility Type Pharmacy
Lab Director PETER GANIO JR

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