10D2224266 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2224266
  • Facility Name: WALGREEN CO
  • Facility Address: 2415 SW 75TH ST
    GAINESVILLE, FL
    ZIP 32608
  • Facility Phone: 352 333-9704
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MOHAMMAD SARGERAN
  • NPI Number: 1700891959
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2224266
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 2415 SW 75TH ST
City GAINESVILLE
State FL
ZIP 32608
Phone 352 333-9704
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 MOHAMMAD SARGERAN

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