10D2229395 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2229395
  • Facility Name: WALGREEN CO
  • Facility Address: 18511 N US HIGHWAY 41
    LUTZ, FL
    ZIP 33549
  • Facility Phone: 813 948-2742
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARIA V. RODRIGUEZ
  • NPI Number: 1154336451
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2229395
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 18511 N US HIGHWAY 41
City LUTZ
State FL
ZIP 33549
Phone 813 948-2742
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2025
Certificate Expiration Date 7/11/2027
Facility Type Pharmacy
Lab Director MARIA V. RODRIGUEZ

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