10D2231744 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

CLIA Number: 10D2231744

Facility Name: WALGREEN CO

Facility Address:
13317 N BOULEVARD
TAMPA, FL
ZIP 33612
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Facility Phone Number: 813 935-8524

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1538176615

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	10D2231744
LAB Type	Pharmacy
Facility Name	WALGREEN CO
Street	13317 N BOULEVARD
City	TAMPA
State	FL
ZIP	33612
Phone	813 935-8524
CertificateType	4
CertificateEffectiveDate	8/5/2023
CertificateExpirationDate	8/4/2025
FacilityType	Waiver

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