10D2225037 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2225037
  • Facility Name: WALGREEN CO
  • Facility Address: 4715 HODGES BLVD
    JACKSONVILLE, FL
    ZIP 32224
  • Facility Phone: 904 992-4643
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WENDY A. HICKMAN
  • NPI Number: 1447265608
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2225037
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 4715 HODGES BLVD
City JACKSONVILLE
State FL
ZIP 32224
Phone 904 992-4643
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 WENDY A. HICKMAN

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