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01D2229423 CLIA NUMBER - WALGREENS #17402

Laboratory Demographics

CLIA Number: 01D2229423

Facility Name: WALGREENS #17402

Facility Address:
1313 NORTH WOOD AVENUE
FLORENCE, AL
ZIP 35630
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Facility Phone Number: 256 766-2144

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1629591623

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 01D2229423
LAB Type Pharmacy
Facility Name WALGREENS #17402
Street 1313 NORTH WOOD AVENUE
City FLORENCE
State AL
ZIP 35630
Phone 256 766-2144
CertificateType 4
CertificateEffectiveDate 7/12/2023
CertificateExpirationDate 7/11/2025
FacilityType Waiver

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