10D2298542 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2298542
  • Facility Name: WALGREEN CO
  • Facility Address: 1001 S 78TH ST
    TAMPA, FL
    ZIP 33619
  • Facility Phone: 813 622-8535
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BARBARA D. RANKINS
  • NPI Number: 1962417261
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2298542
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 1001 S 78TH ST
City TAMPA
State FL
ZIP 33619
Phone 813 622-8535
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2024
Certificate Expiration Date 2/4/2026
Facility Type Pharmacy
Lab Director BARBARA D. RANKINS

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This page was last updated on: 6/4/2025