10D2231572 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

CLIA Number: 10D2231572

Facility Name: WALGREEN CO

Facility Address:
1505 S BELCHER RD
CLEARWATER, FL
ZIP 33764
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Facility Phone Number: 727 536-7552

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1376558551

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	10D2231572
LAB Type	Pharmacy
Facility Name	WALGREEN CO
Street	1505 S BELCHER RD
City	CLEARWATER
State	FL
ZIP	33764
Phone	727 536-7552
CertificateType	4
CertificateEffectiveDate	8/4/2023
CertificateExpirationDate	8/3/2025
FacilityType	Waiver

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