01D2229547 CLIA NUMBER - WALGREENS 12911

Laboratory Demographics

  • CLIA Code: 01D2229547
  • Facility Name: WALGREENS 12911
  • Facility Address: 1400 GUNTER AVE
    GUNTERSVILLE, AL
    ZIP 35976
  • Facility Phone: 256 852-2513
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANDREW J. DAFFORN
  • NPI Number: 1144557257
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2229547
LAB Type Pharmacy
Facility Name WALGREENS 12911
Street 1400 GUNTER AVE
City GUNTERSVILLE
State AL
ZIP 35976
Phone 256 852-2513
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2025
Certificate Expiration Date 7/12/2027
Facility Type Pharmacy
Lab Director ANDREW J. DAFFORN

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