10D2289794 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2289794
  • Facility Name: WALGREEN CO
  • Facility Address: 13880 TOWNE PLACE BLVD
    ORLANDO, FL
    ZIP 32837
  • Facility Phone: 407 857-4548
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EDGARDO L. DIAZ-LATORRE
  • NPI Number: 1093720245
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2289794
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 13880 TOWNE PLACE BLVD
City ORLANDO
State FL
ZIP 32837
Phone 407 857-4548
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2025
Certificate Expiration Date 9/14/2027
Facility Type Pharmacy
Lab Director EDGARDO L. DIAZ-LATORRE

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