01D2070125 CLIA NUMBER - WALGREENS # 13111

Laboratory Demographics

  • CLIA Code: 01D2070125
  • Facility Name: WALGREENS # 13111
  • Facility Address: 3574 MONTGOMERY HWY
    DOTHAN, AL
    ZIP 36303
  • Facility Phone: 334 671-3701
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEPHANIE JAMES
  • NPI Number: 1306151782
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2070125
LAB Type Pharmacy
Facility Name WALGREENS # 13111
Street 3574 MONTGOMERY HWY
City DOTHAN
State AL
ZIP 36303
Phone 334 671-3701
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2025
Certificate Expiration Date 4/20/2027
Facility Type Pharmacy
Lab Director STEPHANIE JAMES

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