01D2071542 CLIA NUMBER - WALGREENS #11098

Laboratory Demographics

CLIA Number: 01D2071542

Facility Name: WALGREENS #11098

Facility Address:
100 ELBA HWY
TROY, AL
ZIP 36079
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Facility Phone Number: 334 808-4282

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1508047580

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

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
CertificateType 4
CertificateEffectiveDate 4/7/2023
CertificateExpirationDate 4/6/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024