10D2241909 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2241909
  • Facility Name: WALGREEN CO
  • Facility Address: 850 43RD AVE SW
    VERO BEACH, FL
    ZIP 32968
  • Facility Phone: 772 562-0761
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENIFER L. NEIMAN
  • NPI Number: 1689610560
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2241909
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 850 43RD AVE SW
City VERO BEACH
State FL
ZIP 32968
Phone 772 562-0761
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2023
Certificate Expiration Date 11/2/2025
Facility Type Pharmacy
Lab Director JENIFER L. NEIMAN

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