10D2230272 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2230272
  • Facility Name: WALGREEN CO
  • Facility Address: 680 E BURLEIGH BLVD
    TAVARES, FL
    ZIP 32778
  • Facility Phone: 352 253-0289
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHILPESH BHUKHAN
  • NPI Number: 1144466335
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2230272
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 680 E BURLEIGH BLVD
City TAVARES
State FL
ZIP 32778
Phone 352 253-0289
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2025
Certificate Expiration Date 7/20/2027
Facility Type Pharmacy
Lab Director SHILPESH BHUKHAN

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