01D2216479 CLIA NUMBER - WALGREENS #09456

Laboratory Demographics

  • CLIA Code: 01D2216479
  • Facility Name: WALGREENS #09456
  • Facility Address: 2920 CARTER HILL ROAD
    MONTGOMERY, AL
    ZIP 36106
  • Facility Phone: 334 262-1169
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIM YOUNGAH
  • NPI Number: 1851427850
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 01D2216479
LAB Type Pharmacy
Facility Name WALGREENS #09456
Street 2920 CARTER HILL ROAD
City MONTGOMERY
State AL
ZIP 36106
Phone 334 262-1169
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2025
Certificate Expiration Date 3/11/2027
Facility Type Pharmacy
Lab Director KIM YOUNGAH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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