01D2070138 CLIA NUMBER - WALGREENS #02589

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Laboratory Demographics

CLIA Number: 01D2070138

Facility Name: WALGREENS #02589

Facility Address:
1718 BELTLINE RD SW
DECATUR, AL
ZIP 35601
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Facility Phone Number: 256 584-6626

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1285649558

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

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
CertificateType	4
CertificateEffectiveDate	10/27/2023
CertificateExpirationDate	10/26/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024