10D2232820 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2232820
  • Facility Name: WALGREEN CO
  • Facility Address: 4950 S US HIGHWAY 1
    FORT PIERCE, FL
    ZIP 34982
  • Facility Phone: 772 466-7106
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PATRICK HARO
  • NPI Number: 1902811151
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2232820
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 4950 S US HIGHWAY 1
City FORT PIERCE
State FL
ZIP 34982
Phone 772 466-7106
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2023
Certificate Expiration Date 8/17/2025
Facility Type Pharmacy
Lab Director PATRICK HARO

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This page was last updated on: 6/4/2025