10D2225566 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2225566
  • Facility Name: WALGREEN CO
  • Facility Address: 1700 N NORMANDY BLVD
    DELTONA, FL
    ZIP 32725
  • Facility Phone: 386 532-4048
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROZINA H. JAFFER-BRUCE
  • NPI Number: 1770590853
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2225566
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 1700 N NORMANDY BLVD
City DELTONA
State FL
ZIP 32725
Phone 386 532-4048
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2025
Certificate Expiration Date 5/20/2027
Facility Type Pharmacy
Lab Director ROZINA H. JAFFER-BRUCE

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