10D2241941 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2241941
  • Facility Name: WALGREEN CO
  • Facility Address: 2 US 27 S
    LAKE PLACID, FL
    ZIP 33852
  • Facility Phone: 863 465-1178
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DOUGLAS L. HEALY
  • NPI Number: 1477762870
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2241941
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 2 US 27 S
City LAKE PLACID
State FL
ZIP 33852
Phone 863 465-1178
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 DOUGLAS L. HEALY

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