01D2222287 CLIA NUMBER - WALGREENS #11389

Laboratory Demographics

  • CLIA Code: 01D2222287
  • Facility Name: WALGREENS #11389
  • Facility Address: 3720 HIGHWAY 14
    MILLBROOK, AL
    ZIP 36054
  • Facility Phone: 334 285-1450
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERIKA BOWENS
  • NPI Number: 1124297114
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2222287
LAB Type Pharmacy
Facility Name WALGREENS #11389
Street 3720 HIGHWAY 14
City MILLBROOK
State AL
ZIP 36054
Phone 334 285-1450
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2025
Certificate Expiration Date 4/27/2027
Facility Type Pharmacy
Lab Director ERIKA BOWENS

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