10D2232201 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2232201
  • Facility Name: WALGREEN CO
  • Facility Address: 11 UNIVERSITY BLVD N
    JACKSONVILLE, FL
    ZIP 32211
  • Facility Phone: 904 727-9939
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIMBERLY L. ELLIOTT
  • NPI Number: 1457366676
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2232201
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 11 UNIVERSITY BLVD N
City JACKSONVILLE
State FL
ZIP 32211
Phone 904 727-9939
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2025
Certificate Expiration Date 8/10/2027
Facility Type Pharmacy
Lab Director KIMBERLY L. ELLIOTT

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