01D2070715 CLIA NUMBER - WALGREENS # 10110

Laboratory Demographics

  • CLIA Code: 01D2070715
  • Facility Name: WALGREENS # 10110
  • Facility Address: 1832 ASHVILLE RD
    LEEDS, AL
    ZIP 35094
  • Facility Phone: 205 702-4783
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEANNETTE B. BOHDE
  • NPI Number: 1952408478
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2070715
LAB Type Pharmacy
Facility Name WALGREENS # 10110
Street 1832 ASHVILLE RD
City LEEDS
State AL
ZIP 35094
Phone 205 702-4783
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 JEANNETTE B. BOHDE

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