01D2230709 CLIA NUMBER - WALGREENS #19608

Laboratory Demographics

  • CLIA Code: 01D2230709
  • Facility Name: WALGREENS #19608
  • Facility Address: 1017 RIVER FALLS STREET
    ANDALUSIA, AL
    ZIP 36420
  • Facility Phone: 334 222-9414
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GREGORY J. WENDLING
  • NPI Number: 1982127239
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2230709
LAB Type Pharmacy
Facility Name WALGREENS #19608
Street 1017 RIVER FALLS STREET
City ANDALUSIA
State AL
ZIP 36420
Phone 334 222-9414
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 GREGORY J. WENDLING

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