01D2070737 CLIA NUMBER - WALGREENS #06085

Laboratory Demographics

  • CLIA Code: 01D2070737
  • Facility Name: WALGREENS #06085
  • Facility Address: 5530 THREE NOTCH RD
    MOBILE, AL
    ZIP 36619
  • Facility Phone: 251 666-0249
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSHUA P. DANIEL
  • NPI Number: 1710992078
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2070737
LAB Type Pharmacy
Facility Name WALGREENS #06085
Street 5530 THREE NOTCH RD
City MOBILE
State AL
ZIP 36619
Phone 251 666-0249
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2025
Certificate Expiration Date 4/5/2027
Facility Type Pharmacy
Lab Director JOSHUA P. DANIEL

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This page was last updated on: 6/4/2025