01D2071545 CLIA NUMBER - WALGREENS #13158

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Laboratory Demographics

CLIA Number: 01D2071545

Facility Name: WALGREENS #13158

Facility Address:
3110 TAYLOR ROAD
MONTGOMERY, AL
ZIP 36116
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Facility Phone Number: 334 244-0143

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1932436839

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	01D2071545
LAB Type	Pharmacy
Facility Name	WALGREENS #13158
Street	3110 TAYLOR ROAD
City	MONTGOMERY
State	AL
ZIP	36116
Phone	334 244-0143
CertificateType	4
CertificateEffectiveDate	3/12/2023
CertificateExpirationDate	3/11/2025
FacilityType	Waiver

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