01D2230576 CLIA NUMBER - WALGREENS #19255

Laboratory Demographics

  • CLIA Code: 01D2230576
  • Facility Name: WALGREENS #19255
  • Facility Address: 6530 SPANISH FORT BLVD
    SPANISH FORT, AL
    ZIP 36527
  • Facility Phone: 251 626-0015
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERICA M. MITCHELL
  • NPI Number: 1972026342
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2230576
LAB Type Pharmacy
Facility Name WALGREENS #19255
Street 6530 SPANISH FORT BLVD
City SPANISH FORT
State AL
ZIP 36527
Phone 251 626-0015
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 ERICA M. MITCHELL

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