01D2229730 CLIA NUMBER - WALGREENS #09976

Laboratory Demographics

  • CLIA Code: 01D2229730
  • Facility Name: WALGREENS #09976
  • Facility Address: 1127 6TH AVE SE
    DECATUR, AL
    ZIP 35601
  • Facility Phone: 256 355-4495
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOAN L. DANIEL-GREENE
  • NPI Number: 1629142419
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 01D2229730
LAB Type Pharmacy
Facility Name WALGREENS #09976
Street 1127 6TH AVE SE
City DECATUR
State AL
ZIP 35601
Phone 256 355-4495
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 JOAN L. DANIEL-GREENE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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