10D2231877 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2231877
  • Facility Name: WALGREEN CO
  • Facility Address: 13705 PARK BLVD
    SEMINOLE, FL
    ZIP 33776
  • Facility Phone: 727 319-2757
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DRIN MITA
  • NPI Number: 1477568798
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2231877
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 13705 PARK BLVD
City SEMINOLE
State FL
ZIP 33776
Phone 727 319-2757
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/6/2025
Certificate Expiration Date 8/5/2027
Facility Type Pharmacy
Lab Director DRIN MITA

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