01D2231205 CLIA NUMBER - WALGREENS #10109

Laboratory Demographics

  • CLIA Code: 01D2231205
  • Facility Name: WALGREENS #10109
  • Facility Address: 109 E DR HICKS BLVD
    FLORENCE, AL
    ZIP 35630
  • Facility Phone: 256 718-0457
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSHUA WHITE
  • NPI Number: 1043243983
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2231205
LAB Type Pharmacy
Facility Name WALGREENS #10109
Street 109 E DR HICKS BLVD
City FLORENCE
State AL
ZIP 35630
Phone 256 718-0457
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2025
Certificate Expiration Date 7/29/2027
Facility Type Pharmacy
Lab Director JOSHUA WHITE

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