01D2071546 CLIA NUMBER - WALGREENS # 02203

Laboratory Demographics

  • CLIA Code: 01D2071546
  • Facility Name: WALGREENS # 02203
  • Facility Address: 3892 ATLANTA HWY
    MONTGOMERY, AL
    ZIP 36109
  • Facility Phone: 334 270-0757
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ZIRENTHIA N. HOLCOMBE
  • NPI Number: 1467467738
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2071546
LAB Type Pharmacy
Facility Name WALGREENS # 02203
Street 3892 ATLANTA HWY
City MONTGOMERY
State AL
ZIP 36109
Phone 334 270-0757
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2023
Certificate Expiration Date 10/26/2025
Facility Type Pharmacy
Lab Director ZIRENTHIA N. HOLCOMBE

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