10D2226051 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2226051
  • Facility Name: WALGREEN CO
  • Facility Address: 9595 N US HIGHWAY 1
    SEBASTIAN, FL
    ZIP 32958
  • Facility Phone: 772 589-5177
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSHUA STURTEVANT
  • NPI Number: 1487661567
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2226051
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 9595 N US HIGHWAY 1
City SEBASTIAN
State FL
ZIP 32958
Phone 772 589-5177
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2025
Certificate Expiration Date 5/25/2027
Facility Type Pharmacy
Lab Director JOSHUA STURTEVANT

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