01D2240371 CLIA NUMBER - WALGREENS #04589

Laboratory Demographics

  • CLIA Code: 01D2240371
  • Facility Name: WALGREENS #04589
  • Facility Address: 9458 HELENA ROAD
    PELHAM, AL
    ZIP 35124
  • Facility Phone: 205 444-9488
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERIN H. FONBAH
  • NPI Number: 1720093081
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2240371
LAB Type Pharmacy
Facility Name WALGREENS #04589
Street 9458 HELENA ROAD
City PELHAM
State AL
ZIP 35124
Phone 205 444-9488
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2025
Certificate Expiration Date 10/18/2027
Facility Type Pharmacy
Lab Director ERIN H. FONBAH

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