01D2229708 CLIA NUMBER - WALGREENS #12056

Laboratory Demographics

  • CLIA Code: 01D2229708
  • Facility Name: WALGREENS #12056
  • Facility Address: 5271 ROSS BRIDGE PKWY
    HOOVER, AL
    ZIP 35226
  • Facility Phone: 205 988-9013
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSHUA A. JACOBS
  • NPI Number: 1154577450
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2229708
LAB Type Pharmacy
Facility Name WALGREENS #12056
Street 5271 ROSS BRIDGE PKWY
City HOOVER
State AL
ZIP 35226
Phone 205 988-9013
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/15/2025
Certificate Expiration Date 7/14/2027
Facility Type Pharmacy
Lab Director JOSHUA A. JACOBS

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