10D2229271 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2229271
  • Facility Name: WALGREEN CO
  • Facility Address: 3600 WINTER GARDEN VINELAND RD
    WINTER GARDEN, FL
    ZIP 34787
  • Facility Phone: 407 654-5203
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DESHAWNDA E. HASAN
  • NPI Number: 1295740470
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2229271
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 3600 WINTER GARDEN VINELAND RD
City WINTER GARDEN
State FL
ZIP 34787
Phone 407 654-5203
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2025
Certificate Expiration Date 7/8/2027
Facility Type Pharmacy
Lab Director DESHAWNDA E. HASAN

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