01D2219041 CLIA NUMBER - WALGREENS # 11819

Laboratory Demographics

CLIA Number: 01D2219041

Facility Name: WALGREENS # 11819

Facility Address:
1401 GOLDEN SPRINGS ROAD
ANNISTON, AL
ZIP 36207
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Facility Phone Number: 256 835-5099

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1235376898

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 01D2219041
LAB Type Pharmacy
Facility Name WALGREENS # 11819
Street 1401 GOLDEN SPRINGS ROAD
City ANNISTON
State AL
ZIP 36207
Phone 256 835-5099
CertificateType 4
CertificateEffectiveDate 4/1/2023
CertificateExpirationDate 3/31/2025
FacilityType Waiver

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