01D2224011 CLIA NUMBER - WALGREENS #10169

Laboratory Demographics

  • CLIA Code: 01D2224011
  • Facility Name: WALGREENS #10169
  • Facility Address: 30957 MILL LANE
    SPANISH FORT, AL
    ZIP 36527
  • Facility Phone: 251 625-4654
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL S. SMITH
  • NPI Number: 1427092188
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2224011
LAB Type Pharmacy
Facility Name WALGREENS #10169
Street 30957 MILL LANE
City SPANISH FORT
State AL
ZIP 36527
Phone 251 625-4654
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2025
Certificate Expiration Date 5/10/2027
Facility Type Pharmacy
Lab Director MICHAEL S. SMITH

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This page was last updated on: 6/4/2025