10D2291476 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2291476
  • Facility Name: WALGREEN CO
  • Facility Address: 4420 NW FEDERAL HWY
    JENSEN BEACH, FL
    ZIP 34957
  • Facility Phone: 772 232-9289
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RUTH BRYAN
  • NPI Number: 1760497952
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2291476
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 4420 NW FEDERAL HWY
City JENSEN BEACH
State FL
ZIP 34957
Phone 772 232-9289
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2025
Certificate Expiration Date 10/10/2027
Facility Type Pharmacy
Lab Director RUTH BRYAN

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