10D2228400 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

CLIA Number: 10D2228400

Facility Name: WALGREEN CO

Facility Address:
1224 S TAMIAMI TRL
SARASOTA, FL
ZIP 34239
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Facility Phone Number: 941 953-9804

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1730194960

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	10D2228400
LAB Type	Pharmacy
Facility Name	WALGREEN CO
Street	1224 S TAMIAMI TRL
City	SARASOTA
State	FL
ZIP	34239
Phone	941 953-9804
CertificateType	4
CertificateEffectiveDate	6/25/2023
CertificateExpirationDate	6/24/2025
FacilityType	Waiver

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