10D2228795 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2228795
  • Facility Name: WALGREEN CO
  • Facility Address: 16000 N CLEVELAND AVE
    N FT MYERS, FL
    ZIP 33903
  • Facility Phone: 239 656-3419
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALESSANDRA FUSARO
  • NPI Number: 1730194929
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2228795
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 16000 N CLEVELAND AVE
City N FT MYERS
State FL
ZIP 33903
Phone 239 656-3419
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2025
Certificate Expiration Date 6/30/2027
Facility Type Pharmacy
Lab Director ALESSANDRA FUSARO

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