01D2239640 CLIA NUMBER - WALGREENS #07791

Laboratory Demographics

  • CLIA Code: 01D2239640
  • Facility Name: WALGREENS #07791
  • Facility Address: 101 DOUG BAKER BLVD
    BIRMINGHAM, AL
    ZIP 35242
  • Facility Phone: 205 437-9467
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACOB HOLLAND
  • NPI Number: 1457367856
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2239640
LAB Type Pharmacy
Facility Name WALGREENS #07791
Street 101 DOUG BAKER BLVD
City BIRMINGHAM
State AL
ZIP 35242
Phone 205 437-9467
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2025
Certificate Expiration Date 10/12/2027
Facility Type Pharmacy
Lab Director JACOB HOLLAND

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