10D2288040 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2288040
  • Facility Name: WALGREEN CO
  • Facility Address: 4673 TAMIAMI TRL N
    NAPLES, FL
    ZIP 34103
  • Facility Phone: 239 649-6686
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NICOLE L. GULOTTA
  • NPI Number: 1891700910
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2288040
LAB Type Physician Office
Facility Name WALGREEN CO
Street 4673 TAMIAMI TRL N
City NAPLES
State FL
ZIP 34103
Phone 239 649-6686
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2025
Certificate Expiration Date 8/20/2027
Facility Type Physician Office
Lab Director NICOLE L. GULOTTA

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