01D2229424 CLIA NUMBER - WALGREENS 10168

Laboratory Demographics

  • CLIA Code: 01D2229424
  • Facility Name: WALGREENS 10168
  • Facility Address: 12550 US HWY 90
    GRAND BAY, AL
    ZIP 36541
  • Facility Phone: 251 865-1429
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ARNIKA D. WEATHERINGTON
  • NPI Number: 1598772220
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2229424
LAB Type Pharmacy
Facility Name WALGREENS 10168
Street 12550 US HWY 90
City GRAND BAY
State AL
ZIP 36541
Phone 251 865-1429
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2023
Certificate Expiration Date 7/11/2025
Facility Type Pharmacy
Lab Director DR. ARNIKA D. WEATHERINGTON

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This page was last updated on: 3/20/2025