10D2230380 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2230380
  • Facility Name: WALGREEN CO
  • Facility Address: 4445 US HIGHWAY 98 N
    LAKELAND, FL
    ZIP 33809
  • Facility Phone: 863 815-2343
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KATERA C. KENNON
  • NPI Number: 1275548422
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2230380
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 4445 US HIGHWAY 98 N
City LAKELAND
State FL
ZIP 33809
Phone 863 815-2343
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2025
Certificate Expiration Date 7/21/2027
Facility Type Pharmacy
Lab Director KATERA C. KENNON

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