10D2231462 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2231462
  • Facility Name: WALGREEN CO
  • Facility Address: 100 S RIDGEWOOD AVE
    DAYTONA BEACH, FL
    ZIP 32114
  • Facility Phone: 386 255-4167
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THOMAS R. MURPHY JR
  • NPI Number: 1124033311
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2231462
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 100 S RIDGEWOOD AVE
City DAYTONA BEACH
State FL
ZIP 32114
Phone 386 255-4167
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2025
Certificate Expiration Date 8/2/2027
Facility Type Pharmacy
Lab Director THOMAS R. MURPHY JR

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