01D2220064 CLIA NUMBER - WALGREENS #10966

Laboratory Demographics

  • CLIA Code: 01D2220064
  • Facility Name: WALGREENS #10966
  • Facility Address: 201 HIGHWAY 31 NW
    HARTSELLE, AL
    ZIP 35640
  • Facility Phone: 256 773-4377
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. SCARLETT W. HOLGATE
  • NPI Number: 1811170780
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2220064
LAB Type Pharmacy
Facility Name WALGREENS #10966
Street 201 HIGHWAY 31 NW
City HARTSELLE
State AL
ZIP 35640
Phone 256 773-4377
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/9/2025
Certificate Expiration Date 4/8/2027
Facility Type Pharmacy
Lab Director DR. SCARLETT W. HOLGATE

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