01D2070704 CLIA NUMBER - WALGREENS #15144

Laboratory Demographics

CLIA Number: 01D2070704

Facility Name: WALGREENS #15144

Facility Address:
3020 CLAIRMONT AVE S
BIRMINGHAM, AL
ZIP 35205
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Facility Phone Number: 205 323-6823

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1750639696

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 01D2070704
LAB Type Pharmacy
Facility Name WALGREENS #15144
Street 3020 CLAIRMONT AVE S
City BIRMINGHAM
State AL
ZIP 35205
Phone 205 323-6823
CertificateType 4
CertificateEffectiveDate 5/14/2023
CertificateExpirationDate 5/13/2025
FacilityType Waiver

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