10D2012447 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 10D2012447
  • Facility Name: WALGREEN CO
  • Facility Address: 8900 TAMIAMI TRL N
    NAPLES, FL
    ZIP 34108
  • Facility Phone: 239 597-8196
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GINA T. MATURO
  • NPI Number: 1699780809
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2012447
LAB Type Pharmacy
Facility Name WALGREEN CO
Street 8900 TAMIAMI TRL N
City NAPLES
State FL
ZIP 34108
Phone 239 597-8196
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2023
Certificate Expiration Date 6/30/2025
Facility Type Pharmacy
Lab Director GINA T. MATURO

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This page was last updated on: 3/20/2025