10D2225013 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2225013
  • Facility Name: WALGREEN CO
  • Facility Address: 1063 N TOLEDO BLADE BLVD
    NORTH PORT, FL
    ZIP 34288
  • Facility Phone: 941 429-6174
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CANDACE F. TIMMONS
  • NPI Number: 1740467547
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2225013
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 1063 N TOLEDO BLADE BLVD
City NORTH PORT
State FL
ZIP 34288
Phone 941 429-6174
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/18/2025
Certificate Expiration Date 5/17/2027
Facility Type Pharmacy
Lab Director CANDACE F. TIMMONS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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