10D2231744 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2231744
  • Facility Name: WALGREEN CO
  • Facility Address: 13317 N BOULEVARD
    TAMPA, FL
    ZIP 33612
  • Facility Phone: 813 935-8524
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROBERT I. BUSHEY
  • NPI Number: 1538176615
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2231744
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 13317 N BOULEVARD
City TAMPA
State FL
ZIP 33612
Phone 813 935-8524
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 ROBERT I. BUSHEY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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