10D2231732 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2231732
  • Facility Name: WALGREEN CO
  • Facility Address: 875 DR MARTIN LUTHER KING JR ST N
    SAINT PETERSBURG, FL
    ZIP 33701
  • Facility Phone: 727 821-3369
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NIVEIN MELEKA
  • NPI Number: 1134134430
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2231732
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 875 DR MARTIN LUTHER KING JR ST N
City SAINT PETERSBURG
State FL
ZIP 33701
Phone 727 821-3369
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/5/2025
Certificate Expiration Date 8/4/2027
Facility Type Pharmacy
Lab Director NIVEIN MELEKA

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