01D2222659 CLIA NUMBER - WALGREENS #12333

Laboratory Demographics

  • CLIA Code: 01D2222659
  • Facility Name: WALGREENS #12333
  • Facility Address: 4544 SAINT STEPHENS ROAD
    MOBILE, AL
    ZIP 36613
  • Facility Phone: 251 330-1631
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALEX D. JASPER
  • NPI Number: 1205073525
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2222659
LAB Type Pharmacy
Facility Name WALGREENS #12333
Street 4544 SAINT STEPHENS ROAD
City MOBILE
State AL
ZIP 36613
Phone 251 330-1631
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2025
Certificate Expiration Date 4/29/2027
Facility Type Pharmacy
Lab Director ALEX D. JASPER

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