10D2225573 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2225573
  • Facility Name: WALGREEN CO
  • Facility Address: 500 HOWLAND BLVD
    DELTONA, FL
    ZIP 32738
  • Facility Phone: 407 710-3120
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CAM LE
  • NPI Number: 1033353222
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2225573
LAB Type Physician Office
Facility Name WALGREEN CO
Street 500 HOWLAND BLVD
City DELTONA
State FL
ZIP 32738
Phone 407 710-3120
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 Physician Office
Lab Director CAM LE

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