10D2230518 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

CLIA Number: 10D2230518

Facility Name: WALGREEN CO

Facility Address:
13551 MCGREGOR BLVD
FORT MYERS, FL
ZIP 33919
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Facility Phone Number: 239 437-4042

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1629083894

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	10D2230518
LAB Type	Pharmacy
Facility Name	WALGREEN CO
Street	13551 MCGREGOR BLVD
City	FORT MYERS
State	FL
ZIP	33919
Phone	239 437-4042
CertificateType	4
CertificateEffectiveDate	7/26/2023
CertificateExpirationDate	7/25/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024