10D2231173 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2231173
  • Facility Name: WALGREEN CO
  • Facility Address: 10563 PARK BLVD
    SEMINOLE, FL
    ZIP 33772
  • Facility Phone: 727 398-6160
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEREMY P. HYINK
  • NPI Number: 1972519510
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2231173
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 10563 PARK BLVD
City SEMINOLE
State FL
ZIP 33772
Phone 727 398-6160
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 JEREMY P. HYINK

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