10D2225811 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2225811
  • Facility Name: WALGREEN CO
  • Facility Address: 1455 UPPER MANATEE RIVER RD
    BRADENTON, FL
    ZIP 34212
  • Facility Phone: 941 462-1564
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RYAN K. HOLT
  • NPI Number: 1568778975
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2225811
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 1455 UPPER MANATEE RIVER RD
City BRADENTON
State FL
ZIP 34212
Phone 941 462-1564
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2025
Certificate Expiration Date 5/24/2027
Facility Type Pharmacy
Lab Director RYAN K. HOLT

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