10D2227911 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2227911
  • Facility Name: WALGREEN CO
  • Facility Address: 1606 DEL PRADO BLVD S
    CAPE CORAL, FL
    ZIP 33990
  • Facility Phone: 239 458-7427
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DYLAN M. HOCEVAR
  • NPI Number: 1295740488
  • Taxonomy: 333600000X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2025
Certificate Expiration Date 6/17/2027
Facility Type Pharmacy
Lab Director DYLAN M. HOCEVAR

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