10D2289028 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2289028
  • Facility Name: WALGREEN CO
  • Facility Address: 8265 CHAMPIONS GATE BLVD
    CHAMPIONS GATE, FL
    ZIP 33896
  • Facility Phone: 321 677-0487
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GEORGE SAJIMON
  • NPI Number: 1831104017
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2289028
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 8265 CHAMPIONS GATE BLVD
City CHAMPIONS GATE
State FL
ZIP 33896
Phone 321 677-0487
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/5/2025
Certificate Expiration Date 9/4/2027
Facility Type Pharmacy
Lab Director GEORGE SAJIMON

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