01D2240245 CLIA NUMBER - WALGREENS #15613

Laboratory Demographics

  • CLIA Code: 01D2240245
  • Facility Name: WALGREENS #15613
  • Facility Address: 101 BESSEMER SUPER HIGHWAY
    MIDFIELD, AL
    ZIP 35228
  • Facility Phone: 205 421-7887
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TIFFANY L. GOULD
  • NPI Number: 1487052692
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 01D2240245
LAB Type Pharmacy
Facility Name WALGREENS #15613
Street 101 BESSEMER SUPER HIGHWAY
City MIDFIELD
State AL
ZIP 35228
Phone 205 421-7887
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2023
Certificate Expiration Date 10/17/2025
Facility Type Pharmacy
Lab Director TIFFANY L. GOULD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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