10D2241933 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2241933
  • Facility Name: WALGREEN CO
  • Facility Address: 93 US HIGHWAY 27 S
    AVON PARK, FL
    ZIP 33825
  • Facility Phone: 863 453-0222
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DEDRIE-ANN R. NELSON
  • NPI Number: 1255346375
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2241933
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 93 US HIGHWAY 27 S
City AVON PARK
State FL
ZIP 33825
Phone 863 453-0222
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 DEDRIE-ANN R. NELSON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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