10D2243423 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2243423
  • Facility Name: WALGREEN CO
  • Facility Address: 1106 CLEARLAKE RD
    COCOA, FL
    ZIP 32922
  • Facility Phone: 321 632-3150
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALEXANDRA M. MAGLIOCCO
  • NPI Number: 1932114113
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2243423
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 1106 CLEARLAKE RD
City COCOA
State FL
ZIP 32922
Phone 321 632-3150
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2023
Certificate Expiration Date 11/17/2025
Facility Type Pharmacy
Lab Director ALEXANDRA M. MAGLIOCCO

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