10D2231099 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2231099
  • Facility Name: WALGREEN CO
  • Facility Address: 2227 N YOUNG BLVD
    CHIEFLAND, FL
    ZIP 32626
  • Facility Phone: 352 493-1851
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TAMMY L. BENNETT
  • NPI Number: 1538189741
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2231099
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 2227 N YOUNG BLVD
City CHIEFLAND
State FL
ZIP 32626
Phone 352 493-1851
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2025
Certificate Expiration Date 7/29/2027
Facility Type Pharmacy
Lab Director TAMMY L. BENNETT

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