10D2226234 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2226234
  • Facility Name: WALGREEN CO
  • Facility Address: 5432 LITTLE RD
    NEW PORT RICHEY, FL
    ZIP 34655
  • Facility Phone: 727 372-4885
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BAVLY IBRHIM
  • NPI Number: 1992710149
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2226234
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 5432 LITTLE RD
City NEW PORT RICHEY
State FL
ZIP 34655
Phone 727 372-4885
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 BAVLY IBRHIM

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