01D2070728 CLIA NUMBER - WALGREENS #06084

Laboratory Demographics

  • CLIA Code: 01D2070728
  • Facility Name: WALGREENS #06084
  • Facility Address: 2 GREENO RD S
    FAIRHOPE, AL
    ZIP 36532
  • Facility Phone: 251 928-6558
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RONNI D. COOPER
  • NPI Number: 1356356612
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2070728
LAB Type Pharmacy
Facility Name WALGREENS #06084
Street 2 GREENO RD S
City FAIRHOPE
State AL
ZIP 36532
Phone 251 928-6558
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2024
Certificate Expiration Date 5/19/2026
Facility Type Pharmacy
Lab Director RONNI D. COOPER

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