10D2225861 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2225861
  • Facility Name: WALGREEN CO
  • Facility Address: 1504 53RD AVE E
    BRADENTON, FL
    ZIP 34203
  • Facility Phone: 941 752-0705
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WENDY J. BUCKNER
  • NPI Number: 1548275779
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2225861
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 1504 53RD AVE E
City BRADENTON
State FL
ZIP 34203
Phone 941 752-0705
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 WENDY J. BUCKNER

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