10D2292690 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2292690
  • Facility Name: WALGREEN CO
  • Facility Address: 390 STATE ROAD 13
    JACKSONVILLE, FL
    ZIP 32259
  • Facility Phone: 904 230-4696
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JONATHAN TRINKLE
  • NPI Number: 1194730366
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2292690
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 390 STATE ROAD 13
City JACKSONVILLE
State FL
ZIP 32259
Phone 904 230-4696
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2023
Certificate Expiration Date 10/29/2025
Facility Type Pharmacy
Lab Director JONATHAN TRINKLE

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