10D2231173 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

CLIA Number: 10D2231173

Facility Name: WALGREEN CO

Facility Address:
10563 PARK BLVD
SEMINOLE, FL
ZIP 33772
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Facility Phone Number: 727 398-6160

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1972519510

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	10D2231173
LAB Type	Pharmacy
Facility Name	WALGREEN CO
Street	10563 PARK BLVD
City	SEMINOLE
State	FL
ZIP	33772
Phone	727 398-6160
CertificateType	4
CertificateEffectiveDate	7/30/2023
CertificateExpirationDate	7/29/2025
FacilityType	Waiver

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