10D2232213 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2232213
  • Facility Name: WALGREEN CO
  • Facility Address: 105 JULINGTON PLAZA DR
    JACKSONVILLE, FL
    ZIP 32259
  • Facility Phone: 904 287-5656
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TINA CERCONE
  • NPI Number: 1760499842
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2232213
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 105 JULINGTON PLAZA DR
City JACKSONVILLE
State FL
ZIP 32259
Phone 904 287-5656
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 TINA CERCONE

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