10D2288887 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2288887
  • Facility Name: WALGREEN CO
  • Facility Address: 5545 CYPRESS GARDENS BLVD
    WINTER HAVEN, FL
    ZIP 33884
  • Facility Phone: 863 318-8656
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MUSSIE M. TADESE
  • NPI Number: 1265447411
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2288887
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 5545 CYPRESS GARDENS BLVD
City WINTER HAVEN
State FL
ZIP 33884
Phone 863 318-8656
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2025
Certificate Expiration Date 8/31/2027
Facility Type Pharmacy
Lab Director MUSSIE M. TADESE

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