10D2226224 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

CLIA Number: 10D2226224

Facility Name: WALGREEN CO

Facility Address:
10427 BIG BEND RD
RIVERVIEW, FL
ZIP 33578
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Facility Phone Number: 813 347-5023

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1346578721

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	10D2226224
LAB Type	Pharmacy
Facility Name	WALGREEN CO
Street	10427 BIG BEND RD
City	RIVERVIEW
State	FL
ZIP	33578
Phone	813 347-5023
CertificateType	4
CertificateEffectiveDate	5/27/2023
CertificateExpirationDate	5/26/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024