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01D2226360 CLIA NUMBER - WALGREENS #15614

Laboratory Demographics

CLIA Number: 01D2226360

Facility Name: WALGREENS #15614

Facility Address:
3140 HIGHWAY 280
ALEXANDER CITY, AL
ZIP 35010
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Facility Phone Number: 256 329-8224

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1902232853

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 01D2226360
LAB Type Pharmacy
Facility Name WALGREENS #15614
Street 3140 HIGHWAY 280
City ALEXANDER CITY
State AL
ZIP 35010
Phone 256 329-8224
CertificateType 4
CertificateEffectiveDate 5/28/2023
CertificateExpirationDate 5/27/2025
FacilityType Waiver

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