01D2230684 CLIA NUMBER - WALGREENS #05176

Laboratory Demographics

CLIA Number: 01D2230684

Facility Name: WALGREENS #05176

Facility Address:
2490 SCHILLINGER RD S
MOBILE, AL
ZIP 36695
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Facility Phone Number: 251 633-2704

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1447265707

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	01D2230684
LAB Type	Pharmacy
Facility Name	WALGREENS #05176
Street	2490 SCHILLINGER RD S
City	MOBILE
State	AL
ZIP	36695
Phone	251 633-2704
CertificateType	4
CertificateEffectiveDate	7/27/2023
CertificateExpirationDate	7/26/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024