01D2220481 CLIA NUMBER - WALGREENS #11180

Laboratory Demographics

  • CLIA Code: 01D2220481
  • Facility Name: WALGREENS #11180
  • Facility Address: 1700 2ND AVE SW
    CULLMAN, AL
    ZIP 35055
  • Facility Phone: 256 734-7188
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARK B. SHELTON
  • NPI Number: 1922269778
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2220481
LAB Type Pharmacy
Facility Name WALGREENS #11180
Street 1700 2ND AVE SW
City CULLMAN
State AL
ZIP 35055
Phone 256 734-7188
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2025
Certificate Expiration Date 4/12/2027
Facility Type Pharmacy
Lab Director MARK B. SHELTON

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