01D2230684 CLIA NUMBER - WALGREENS #05176

Laboratory Demographics

  • CLIA Code: 01D2230684
  • Facility Name: WALGREENS #05176
  • Facility Address: 2490 SCHILLINGER RD S
    MOBILE, AL
    ZIP 36695
  • Facility Phone: 251 633-2704
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KENCHASHA SHELTON
  • NPI Number: 1447265707
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2025
Certificate Expiration Date 7/26/2027
Facility Type Pharmacy
Lab Director KENCHASHA SHELTON

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