10D2225764 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2225764
  • Facility Name: WALGREEN CO
  • Facility Address: 2110 SE OCEAN BLVD
    STUART, FL
    ZIP 34996
  • Facility Phone: 772 283-1045
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KARA D. WELCH
  • NPI Number: 1760497945
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2225764
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 2110 SE OCEAN BLVD
City STUART
State FL
ZIP 34996
Phone 772 283-1045
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 KARA D. WELCH

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