10D2241205 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2241205
  • Facility Name: WALGREEN CO
  • Facility Address: 9200 CONROY WINDERMERE RD
    WINDERMERE, FL
    ZIP 34786
  • Facility Phone: 407 612-6100
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JESSICA MIRANDA HERNANDEZ
  • NPI Number: 1407196033
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2241205
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 9200 CONROY WINDERMERE RD
City WINDERMERE
State FL
ZIP 34786
Phone 407 612-6100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2023
Certificate Expiration Date 10/25/2025
Facility Type Pharmacy
Lab Director JESSICA MIRANDA HERNANDEZ

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