10D2229189 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2229189
  • Facility Name: WALGREEN CO
  • Facility Address: 699 E HIGHWAY 50
    CLERMONT, FL
    ZIP 34711
  • Facility Phone: 352 241-9109
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EDUARDO NEGRON COTTO
  • NPI Number: 1912912148
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2229189
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 699 E HIGHWAY 50
City CLERMONT
State FL
ZIP 34711
Phone 352 241-9109
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2025
Certificate Expiration Date 7/7/2027
Facility Type Pharmacy
Lab Director EDUARDO NEGRON COTTO

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