10D2318230 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2318230
  • Facility Name: WALGREEN CO
  • Facility Address: 1600 N NOVA RD
    HOLLY HILL, FL
    ZIP 32117
  • Facility Phone: 386 255-0485
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NICOLE A. CAMP
  • NPI Number: 1033126016
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2318230
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 1600 N NOVA RD
City HOLLY HILL
State FL
ZIP 32117
Phone 386 255-0485
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2025
Certificate Expiration Date 2/6/2027
Facility Type Pharmacy
Lab Director NICOLE A. CAMP

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