01D2225898 CLIA NUMBER - WALGREENS #10504

Laboratory Demographics

  • CLIA Code: 01D2225898
  • Facility Name: WALGREENS #10504
  • Facility Address: 5947 CHALKVILLE MOUNTAIN ROAD
    BIRMINGHAM, AL
    ZIP 35235
  • Facility Phone: 205 655-5189
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DEENA L. PHILLIPS
  • NPI Number: 1588769921
  • Taxonomy: 333600000X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2025
Certificate Expiration Date 5/24/2027
Facility Type Pharmacy
Lab Director DEENA L. PHILLIPS

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