10D2230825 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

CLIA Number: 10D2230825

Facility Name: WALGREEN CO

Facility Address:
955 S WINTER PARK DR
CASSELBERRY, FL
ZIP 32707
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Facility Phone Number: 407 767-7002

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1366457517

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	10D2230825
LAB Type	Pharmacy
Facility Name	WALGREEN CO
Street	955 S WINTER PARK DR
City	CASSELBERRY
State	FL
ZIP	32707
Phone	407 767-7002
CertificateType	4
CertificateEffectiveDate	7/28/2023
CertificateExpirationDate	7/27/2025
FacilityType	Waiver

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