10D2230448 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2230448
  • Facility Name: WALGREEN CO
  • Facility Address: 630 BLANDING BLVD
    ORANGE PARK, FL
    ZIP 32073
  • Facility Phone: 904 272-3750
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRIETTA M. HARRELL
  • NPI Number: 1326055310
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2230448
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 630 BLANDING BLVD
City ORANGE PARK
State FL
ZIP 32073
Phone 904 272-3750
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/23/2025
Certificate Expiration Date 7/22/2027
Facility Type Pharmacy
Lab Director BRIETTA M. HARRELL

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