01D2239428 CLIA NUMBER - WALGREENS #17363

Laboratory Demographics

  • CLIA Code: 01D2239428
  • Facility Name: WALGREENS #17363
  • Facility Address: 8000 MADISON BLVD
    MADISON, AL
    ZIP 35758
  • Facility Phone: 256 461-6903
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EVELYN N. SENWO
  • NPI Number: 1275056277
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2239428
LAB Type Pharmacy
Facility Name WALGREENS #17363
Street 8000 MADISON BLVD
City MADISON
State AL
ZIP 35758
Phone 256 461-6903
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2025
Certificate Expiration Date 10/11/2027
Facility Type Pharmacy
Lab Director EVELYN N. SENWO

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