01D2071542 CLIA NUMBER - WALGREENS #11098

Laboratory Demographics

  • CLIA Code: 01D2071542
  • Facility Name: WALGREENS #11098
  • Facility Address: 100 ELBA HWY
    TROY, AL
    ZIP 36079
  • Facility Phone: 334 808-4282
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMANDA L. MOORE
  • NPI Number: 1508047580
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2071542
LAB Type Pharmacy
Facility Name WALGREENS #11098
Street 100 ELBA HWY
City TROY
State AL
ZIP 36079
Phone 334 808-4282
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/7/2025
Certificate Expiration Date 4/6/2027
Facility Type Pharmacy
Lab Director AMANDA L. MOORE

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