10D2231729 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2231729
  • Facility Name: WALGREEN CO
  • Facility Address: 2814 W KENNEDY BLVD
    ORLANDO, FL
    ZIP 32810
  • Facility Phone: 407 292-4623
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSHUA F. SMITH-BENSON
  • NPI Number: 1578578753
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2231729
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 2814 W KENNEDY BLVD
City ORLANDO
State FL
ZIP 32810
Phone 407 292-4623
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/5/2023
Certificate Expiration Date 8/4/2025
Facility Type Pharmacy
Lab Director JOSHUA F. SMITH-BENSON

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This page was last updated on: 6/4/2025