10D2230830 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2230830
  • Facility Name: WALGREEN CO
  • Facility Address: 175 MALABAR RD NW
    PALM BAY, FL
    ZIP 32907
  • Facility Phone: 321 728-4055
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSEPH N. JEAN
  • NPI Number: 1891702825
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2230830
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 175 MALABAR RD NW
City PALM BAY
State FL
ZIP 32907
Phone 321 728-4055
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 JOSEPH N. JEAN

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