01D2070138 CLIA NUMBER - WALGREENS #02589

Laboratory Demographics

  • CLIA Code: 01D2070138
  • Facility Name: WALGREENS #02589
  • Facility Address: 1718 BELTLINE RD SW
    DECATUR, AL
    ZIP 35601
  • Facility Phone: 256 584-6626
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BONNIE FERGUUSON
  • NPI Number: 1285649558
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 01D2070138
LAB Type Pharmacy
Facility Name WALGREENS #02589
Street 1718 BELTLINE RD SW
City DECATUR
State AL
ZIP 35601
Phone 256 584-6626
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2023
Certificate Expiration Date 10/26/2025
Facility Type Pharmacy
Lab Director BONNIE FERGUUSON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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