01D2070153 CLIA NUMBER - WALGREENS # 12099

Laboratory Demographics

  • CLIA Code: 01D2070153
  • Facility Name: WALGREENS # 12099
  • Facility Address: 503 BATTLE ST E
    TALLADEGA, AL
    ZIP 35160
  • Facility Phone: 256 315-1659
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CODY SHIELDS
  • NPI Number: 1023268489
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2070153
LAB Type Pharmacy
Facility Name WALGREENS # 12099
Street 503 BATTLE ST E
City TALLADEGA
State AL
ZIP 35160
Phone 256 315-1659
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2025
Certificate Expiration Date 3/30/2027
Facility Type Pharmacy
Lab Director CODY SHIELDS

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