10D2225758 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2225758
  • Facility Name: WALGREEN CO
  • Facility Address: 12002 MCCORMICK RD
    JACKSONVILLE, FL
    ZIP 32225
  • Facility Phone: 904 646-1770
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MELANIE M. DELROSARIO
  • NPI Number: 1285640615
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2225758
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 12002 MCCORMICK RD
City JACKSONVILLE
State FL
ZIP 32225
Phone 904 646-1770
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2025
Certificate Expiration Date 5/23/2027
Facility Type Pharmacy
Lab Director MELANIE M. DELROSARIO

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This page was last updated on: 6/4/2025