10D2226493 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2226493
  • Facility Name: WALGREEN CO
  • Facility Address: 2605 BARNA AVE
    TITUSVILLE, FL
    ZIP 32780
  • Facility Phone: 321 269-7392
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARIUS J. PITRE
  • NPI Number: 1528083102
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2226493
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 2605 BARNA AVE
City TITUSVILLE
State FL
ZIP 32780
Phone 321 269-7392
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 MARIUS J. PITRE

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