10D2233585 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2233585
  • Facility Name: WALGREEN CO
  • Facility Address: 9220 LITTLE RD
    NEW PORT RICHEY, FL
    ZIP 34654
  • Facility Phone: 727 862-8537
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NICHOLAS P. VASILAKOS
  • NPI Number: 1740296128
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2233585
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 9220 LITTLE RD
City NEW PORT RICHEY
State FL
ZIP 34654
Phone 727 862-8537
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2025
Certificate Expiration Date 8/23/2027
Facility Type Pharmacy
Lab Director NICHOLAS P. VASILAKOS

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