10D2243056 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2243056
  • Facility Name: WALGREEN CO
  • Facility Address: 1802 JAMES L REDMAN PKWY
    PLANT CITY, FL
    ZIP 33563
  • Facility Phone: 813 752-6192
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RAJEEV K. THOMAS
  • NPI Number: 1689681660
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2243056
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 1802 JAMES L REDMAN PKWY
City PLANT CITY
State FL
ZIP 33563
Phone 813 752-6192
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2023
Certificate Expiration Date 11/15/2025
Facility Type Pharmacy
Lab Director RAJEEV K. THOMAS

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