10D2288688 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2288688
  • Facility Name: WALGREEN CO
  • Facility Address: 800 A1A
    NEW SMYRNA BEACH, FL
    ZIP 32169
  • Facility Phone: 386 426-0725
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOHN A. STAMM
  • NPI Number: 1780699082
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2288688
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 800 A1A
City NEW SMYRNA BEACH
State FL
ZIP 32169
Phone 386 426-0725
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2025
Certificate Expiration Date 8/28/2027
Facility Type Pharmacy
Lab Director JOHN A. STAMM

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