10D2227744 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2227744
  • Facility Name: WALGREEN CO
  • Facility Address: 999 SEBASTIAN BLVD
    SEBASTIAN, FL
    ZIP 32958
  • Facility Phone: 772 388-1096
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANTHONY JAMES FASHONA
  • NPI Number: 1548275787
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2227744
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 999 SEBASTIAN BLVD
City SEBASTIAN
State FL
ZIP 32958
Phone 772 388-1096
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2025
Certificate Expiration Date 6/15/2027
Facility Type Pharmacy
Lab Director ANTHONY JAMES FASHONA

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