01D2219059 CLIA NUMBER - WALGREENS #17268

Laboratory Demographics

  • CLIA Code: 01D2219059
  • Facility Name: WALGREENS #17268
  • Facility Address: 14731 HIGHWAY 231-431 NORTH
    HAZEL GREEN, AL
    ZIP 35750
  • Facility Phone: 256 829-6032
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. DAVID KELLY
  • NPI Number: 1396262259
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2219059
LAB Type Pharmacy
Facility Name WALGREENS #17268
Street 14731 HIGHWAY 231-431 NORTH
City HAZEL GREEN
State AL
ZIP 35750
Phone 256 829-6032
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 DR. DAVID KELLY

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