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01D2221606 CLIA NUMBER - WALGREEN #10598

Laboratory Demographics

CLIA Number: 01D2221606

Facility Name: WALGREEN #10598

Facility Address:
100 W FORT WILLIAMS ST
SYLACAUGA, AL
ZIP 35150
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Facility Phone Number: 256 249-8646

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1023154614

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 01D2221606
LAB Type Pharmacy
Facility Name WALGREEN #10598
Street 100 W FORT WILLIAMS ST
City SYLACAUGA
State AL
ZIP 35150
Phone 256 249-8646
CertificateType 4
CertificateEffectiveDate 4/22/2023
CertificateExpirationDate 4/21/2025
FacilityType Waiver

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