01D2223404 CLIA NUMBER - WALGREENS #13159

Laboratory Demographics

  • CLIA Code: 01D2223404
  • Facility Name: WALGREENS #13159
  • Facility Address: 9179 MOFFETT ROAD
    SEMMES, AL
    ZIP 36575
  • Facility Phone: 251 645-2416
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TAYLOR HOLLIS
  • NPI Number: 1609138320
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2223404
LAB Type Pharmacy
Facility Name WALGREENS #13159
Street 9179 MOFFETT ROAD
City SEMMES
State AL
ZIP 36575
Phone 251 645-2416
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/6/2025
Certificate Expiration Date 5/5/2027
Facility Type Pharmacy
Lab Director TAYLOR HOLLIS

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