10D2291478 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2291478
  • Facility Name: WALGREEN CO
  • Facility Address: 2200 N HIGHWAY A1A
    MELBOURNE, FL
    ZIP 32903
  • Facility Phone: 321 773-2022
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NANCY GALLEGOS
  • NPI Number: 1881609097
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2291478
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 2200 N HIGHWAY A1A
City MELBOURNE
State FL
ZIP 32903
Phone 321 773-2022
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 NANCY GALLEGOS

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