01D2229425 CLIA NUMBER - WALGREENS 10524

Laboratory Demographics

  • CLIA Code: 01D2229425
  • Facility Name: WALGREENS 10524
  • Facility Address: 1111 HIGHLAND AVE
    SELMA, AL
    ZIP 36703
  • Facility Phone: 334 875-4916
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANGELA M. SHELTON
  • NPI Number: 1982771499
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2229425
LAB Type Pharmacy
Facility Name WALGREENS 10524
Street 1111 HIGHLAND AVE
City SELMA
State AL
ZIP 36703
Phone 334 875-4916
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2025
Certificate Expiration Date 7/11/2027
Facility Type Pharmacy
Lab Director ANGELA M. SHELTON

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This page was last updated on: 9/29/2025