10D2224193 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2224193
  • Facility Name: WALGREEN CO
  • Facility Address: 9819 COMMERCIAL WAY
    WEEKI WACHEE, FL
    ZIP 34613
  • Facility Phone: 352 597-3712
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RODOLFO R. CANDIA
  • NPI Number: 1689820664
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2224193
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 9819 COMMERCIAL WAY
City WEEKI WACHEE
State FL
ZIP 34613
Phone 352 597-3712
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2023
Certificate Expiration Date 5/11/2025
Facility Type Pharmacy
Lab Director RODOLFO R. CANDIA

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This page was last updated on: 3/20/2025