01D2230575 CLIA NUMBER - WALGREENS #19668

Laboratory Demographics

  • CLIA Code: 01D2230575
  • Facility Name: WALGREENS #19668
  • Facility Address: 130 SOUTH EUFAULA AVENUE
    EUFAULA, AL
    ZIP 36027
  • Facility Phone: 334 687-7144
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MAXON MONCREIF
  • NPI Number: 1598288516
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2230575
LAB Type Pharmacy
Facility Name WALGREENS #19668
Street 130 SOUTH EUFAULA AVENUE
City EUFAULA
State AL
ZIP 36027
Phone 334 687-7144
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/26/2025
Certificate Expiration Date 7/25/2027
Facility Type Pharmacy
Lab Director MAXON MONCREIF

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