10D2242118 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2242118
  • Facility Name: WALGREEN CO
  • Facility Address: 785 LOCKWOOD BLVD
    OVIEDO, FL
    ZIP 32765
  • Facility Phone: 407 359-2453
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNIFER R. CICCONE
  • NPI Number: 1376550350
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2242118
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 785 LOCKWOOD BLVD
City OVIEDO
State FL
ZIP 32765
Phone 407 359-2453
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2023
Certificate Expiration Date 11/3/2025
Facility Type Pharmacy
Lab Director JENNIFER R. CICCONE

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