01D2229720 CLIA NUMBER - WALGREENS #19770

Laboratory Demographics

  • CLIA Code: 01D2229720
  • Facility Name: WALGREENS #19770
  • Facility Address: 1713 US HIGHWAY 31 NORTH
    FULTONDALE, AL
    ZIP 35068
  • Facility Phone: 205 841-3815
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: REGAN B. HOWELL
  • NPI Number: 1639692999
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2229720
LAB Type Pharmacy
Facility Name WALGREENS #19770
Street 1713 US HIGHWAY 31 NORTH
City FULTONDALE
State AL
ZIP 35068
Phone 205 841-3815
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 REGAN B. HOWELL

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