01D2230716 CLIA NUMBER - WALGREENS #10762

Laboratory Demographics

  • CLIA Code: 01D2230716
  • Facility Name: WALGREENS #10762
  • Facility Address: 2040 DOUGLAS AVE
    BREWTON, AL
    ZIP 36426
  • Facility Phone: 251 867-6838
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL C. JOHNS
  • NPI Number: 1700067238
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2230716
LAB Type Pharmacy
Facility Name WALGREENS #10762
Street 2040 DOUGLAS AVE
City BREWTON
State AL
ZIP 36426
Phone 251 867-6838
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 MICHAEL C. JOHNS

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