01D2207561 CLIA NUMBER - WALGREENS #11651

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Laboratory Demographics

CLIA Number: 01D2207561

Facility Name: WALGREENS #11651

Facility Address:
4700 HIGHWAY 280
BIRMINGHAM, AL
ZIP 35242
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Facility Phone Number: 205 991-1599

Facility Type: Other - COVID 19 TEST SITE

Certificate Type: Waiver

NPI Number: 1457513426

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	01D2207561
LAB Type	Other - COVID 19 TEST SITE
Facility Name	WALGREENS #11651
Street	4700 HIGHWAY 280
City	BIRMINGHAM
State	AL
ZIP	35242
Phone	205 991-1599
CertificateType	4
CertificateEffectiveDate	12/29/2022
CertificateExpirationDate	12/28/2024
FacilityType	Waiver

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