10D2240790 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2240790
  • Facility Name: WALGREEN CO
  • Facility Address: 4 NE PINE ISLAND RD
    CAPE CORAL, FL
    ZIP 33909
  • Facility Phone: 239 242-2231
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KEITH J. LARSON
  • NPI Number: 1245246727
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2240790
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 4 NE PINE ISLAND RD
City CAPE CORAL
State FL
ZIP 33909
Phone 239 242-2231
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/22/2025
Certificate Expiration Date 10/21/2027
Facility Type Pharmacy
Lab Director KEITH J. LARSON

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