10D2230797 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2230797
  • Facility Name: WALGREEN CO
  • Facility Address: 8 NW MAIN ST
    WILLISTON, FL
    ZIP 32696
  • Facility Phone: 352 528-3409
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RAMIRO E. CARBONELL
  • NPI Number: 1861677726
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2230797
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 8 NW MAIN ST
City WILLISTON
State FL
ZIP 32696
Phone 352 528-3409
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2025
Certificate Expiration Date 7/27/2027
Facility Type Pharmacy
Lab Director RAMIRO E. CARBONELL

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