10D2227180 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2227180
  • Facility Name: WALGREEN CO
  • Facility Address: 975 S BABCOCK ST
    MELBOURNE, FL
    ZIP 32901
  • Facility Phone: 312 723-4664
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: COLLEN W. ZSIGA
  • NPI Number: 1841205028
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2227180
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 975 S BABCOCK ST
City MELBOURNE
State FL
ZIP 32901
Phone 312 723-4664
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2025
Certificate Expiration Date 6/8/2027
Facility Type Pharmacy
Lab Director COLLEN W. ZSIGA

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This page was last updated on: 6/4/2025