10D2226827 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2226827
  • Facility Name: WALGREEN CO
  • Facility Address: 2590 E HIGHWAY 50
    CLERMONT, FL
    ZIP 34711
  • Facility Phone: 352 394-1748
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TERRANCE M. ALI
  • NPI Number: 1881600377
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2226827
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 2590 E HIGHWAY 50
City CLERMONT
State FL
ZIP 34711
Phone 352 394-1748
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2025
Certificate Expiration Date 6/3/2027
Facility Type Pharmacy
Lab Director TERRANCE M. ALI

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