10D2226192 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2226192
  • Facility Name: WALGREEN CO
  • Facility Address: 25091 S TAMIAMI TRAIL
    BONITA SPRINGS, FL
    ZIP 34134
  • Facility Phone: 239 948-7532
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RYAN D. BUYEA
  • NPI Number: 1679588008
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2226192
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 25091 S TAMIAMI TRAIL
City BONITA SPRINGS
State FL
ZIP 34134
Phone 239 948-7532
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/27/2025
Certificate Expiration Date 5/26/2027
Facility Type Pharmacy
Lab Director RYAN D. BUYEA

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