01D2219041 CLIA NUMBER - WALGREENS # 11819

Laboratory Demographics

  • CLIA Code: 01D2219041
  • Facility Name: WALGREENS # 11819
  • Facility Address: 1401 GOLDEN SPRINGS ROAD
    ANNISTON, AL
    ZIP 36207
  • Facility Phone: 256 835-5099
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TARA PERKINS
  • NPI Number: 1235376898
  • Taxonomy: 333600000X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Pharmacy
Lab Director TARA PERKINS

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