10D2227985 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2227985
  • Facility Name: WALGREEN CO
  • Facility Address: 3340 CANOE CREEK RD
    SAINT CLOUD, FL
    ZIP 34772
  • Facility Phone: 407 498-0356
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GLORIDA TEWARI
  • NPI Number: 1134375413
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2227985
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 3340 CANOE CREEK RD
City SAINT CLOUD
State FL
ZIP 34772
Phone 407 498-0356
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2025
Certificate Expiration Date 6/20/2027
Facility Type Pharmacy
Lab Director GLORIDA TEWARI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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