10D2232619 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2232619
  • Facility Name: WALGREEN CO
  • Facility Address: 42 BLANDING BLVD
    ORANGE PARK, FL
    ZIP 32073
  • Facility Phone: 904 298-2103
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RYAN L. GUESS
  • NPI Number: 1629083878
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2232619
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 42 BLANDING BLVD
City ORANGE PARK
State FL
ZIP 32073
Phone 904 298-2103
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2023
Certificate Expiration Date 8/15/2025
Facility Type Pharmacy
Lab Director RYAN L. GUESS

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: 6/4/2025