10D2289006 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2289006
  • Facility Name: WALGREEN CO
  • Facility Address: 3803 S ORLANDO DR
    SANFORD, FL
    ZIP 32773
  • Facility Phone: 407 321-0250
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIRAN KHAN
  • NPI Number: 1437166519
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2289006
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 3803 S ORLANDO DR
City SANFORD
State FL
ZIP 32773
Phone 407 321-0250
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/5/2023
Certificate Expiration Date 9/4/2025
Facility Type Pharmacy
Lab Director KIRAN KHAN

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This page was last updated on: 3/20/2025