10D2298235 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2298235
  • Facility Name: WALGREEN CO
  • Facility Address: 115 E STATE ROAD 434 #07149
    LONGWOOD, FL
    ZIP 32750
  • Facility Phone: 407 830-7350
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALBERT M. NEWELL
  • NPI Number: 1740295930
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2298235
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 115 E STATE ROAD 434 #07149
City LONGWOOD
State FL
ZIP 32750
Phone 407 830-7350
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2024
Certificate Expiration Date 1/30/2026
Facility Type Pharmacy
Lab Director ALBERT M. NEWELL

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