10D2289722 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2289722
  • Facility Name: WALGREEN CO
  • Facility Address: 3420 E LAKE RD
    PALM HARBOR, FL
    ZIP 34685
  • Facility Phone: 727 785-7451
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KEITH SARGENT
  • NPI Number: 1215942412
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2289722
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 3420 E LAKE RD
City PALM HARBOR
State FL
ZIP 34685
Phone 727 785-7451
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2025
Certificate Expiration Date 9/13/2027
Facility Type Pharmacy
Lab Director KEITH SARGENT

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