10D2227911 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

CLIA Number: 10D2227911

Facility Name: WALGREEN CO

Facility Address:
1606 DEL PRADO BLVD S
CAPE CORAL, FL
ZIP 33990
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Facility Phone Number: 239 458-7427

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1295740488

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	10D2227911
LAB Type	Pharmacy
Facility Name	WALGREEN CO
Street	1606 DEL PRADO BLVD S
City	CAPE CORAL
State	FL
ZIP	33990
Phone	239 458-7427
CertificateType	4
CertificateEffectiveDate	6/18/2023
CertificateExpirationDate	6/17/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024