10D2243838 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2243838
  • Facility Name: WALGREEN CO
  • Facility Address: 3495 BAYSIDE LAKES BLVD SE
    PALM BAY, FL
    ZIP 32909
  • Facility Phone: 321 409-2828
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNIFER L. HESLY
  • NPI Number: 1992710172
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2243838
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 3495 BAYSIDE LAKES BLVD SE
City PALM BAY
State FL
ZIP 32909
Phone 321 409-2828
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/23/2023
Certificate Expiration Date 11/22/2025
Facility Type Pharmacy
Lab Director JENNIFER L. HESLY

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