10D2289897 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2289897
  • Facility Name: WALGREEN CO
  • Facility Address: 9215 MILEY DRIVE
    WINTER GARDEN, FL
    ZIP 34787
  • Facility Phone: 407 287-4227
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIM B. TRAN
  • NPI Number: 1467721753
  • Taxonomy: 183500000X - Pharmacist

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CLIA Record

Field Name Field Value
CLIA Number 10D2289897
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 9215 MILEY DRIVE
City WINTER GARDEN
State FL
ZIP 34787
Phone 407 287-4227
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2025
Certificate Expiration Date 9/17/2027
Facility Type Pharmacy
Lab Director KIM B. TRAN

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