01D2070706 CLIA NUMBER - WALGREENS #05073

Laboratory Demographics

  • CLIA Code: 01D2070706
  • Facility Name: WALGREENS #05073
  • Facility Address: 1551 FORESTDALE BLVD
    FORESTDALE, AL
    ZIP 35214
  • Facility Phone: 205 798-8360
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SAMUEL B. WAKEFIELD
  • NPI Number: 1457366718
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2070706
LAB Type Pharmacy
Facility Name WALGREENS #05073
Street 1551 FORESTDALE BLVD
City FORESTDALE
State AL
ZIP 35214
Phone 205 798-8360
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 SAMUEL B. WAKEFIELD

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