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01D2225898 CLIA NUMBER - WALGREENS #10504

Laboratory Demographics

CLIA Number: 01D2225898

Facility Name: WALGREENS #10504

Facility Address:
5947 CHALKVILLE MOUNTAIN ROAD
BIRMINGHAM, AL
ZIP 35235
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Facility Phone Number: 205 655-5189

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1588769921

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name Field Value
CLIA Number 01D2225898
LAB Type Pharmacy
Facility Name WALGREENS #10504
Street 5947 CHALKVILLE MOUNTAIN ROAD
City BIRMINGHAM
State AL
ZIP 35235
Phone 205 655-5189
CertificateType 4
CertificateEffectiveDate 5/25/2023
CertificateExpirationDate 5/24/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024