10D2228715 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2228715
  • Facility Name: WALGREEN CO
  • Facility Address: 3004 S ATLANTIC AVE
    DAYTONA BEACH, FL
    ZIP 32118
  • Facility Phone: 386 788-6344
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LISA M. LIBBY
  • NPI Number: 1528075504
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2228715
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 3004 S ATLANTIC AVE
City DAYTONA BEACH
State FL
ZIP 32118
Phone 386 788-6344
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2025
Certificate Expiration Date 6/29/2027
Facility Type Pharmacy
Lab Director LISA M. LIBBY

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