10D2288441 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2288441
  • Facility Name: WALGREEN CO
  • Facility Address: 2679 N ATLANTIC AVE
    DAYTONA BEACH, FL
    ZIP 32118
  • Facility Phone: 386 672-2008
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DOREEN M. HERNANDEZ
  • NPI Number: 1023023207
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2288441
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 2679 N ATLANTIC AVE
City DAYTONA BEACH
State FL
ZIP 32118
Phone 386 672-2008
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2025
Certificate Expiration Date 8/24/2027
Facility Type Pharmacy
Lab Director DOREEN M. HERNANDEZ

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