01D2222950 CLIA NUMBER - WALGREENS #10761

Laboratory Demographics

  • CLIA Code: 01D2222950
  • Facility Name: WALGREENS #10761
  • Facility Address: 1504 S MAIN ST
    ATMORE, AL
    ZIP 36502
  • Facility Phone: 251 446-7550
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STACY L. MILES
  • NPI Number: 1891909396
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2222950
LAB Type Pharmacy
Facility Name WALGREENS #10761
Street 1504 S MAIN ST
City ATMORE
State AL
ZIP 36502
Phone 251 446-7550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2025
Certificate Expiration Date 5/2/2027
Facility Type Pharmacy
Lab Director STACY L. MILES

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