10D2226492 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2226492
  • Facility Name: WALGREEN CO
  • Facility Address: 2935 GARDEN ST
    TITUSVILLE, FL
    ZIP 32796
  • Facility Phone: 321 267-0249
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ESSAM KHALPL
  • NPI Number: 1558376699
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2226492
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 2935 GARDEN ST
City TITUSVILLE
State FL
ZIP 32796
Phone 321 267-0249
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2025
Certificate Expiration Date 5/31/2027
Facility Type Pharmacy
Lab Director ESSAM KHALPL

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