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01D2240371 CLIA NUMBER - WALGREENS #04589

Laboratory Demographics

CLIA Number: 01D2240371

Facility Name: WALGREENS #04589

Facility Address:
9458 HELENA ROAD
PELHAM, AL
ZIP 35124
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Facility Phone Number: 205 444-9488

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1720093081

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

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
CertificateType 4
CertificateEffectiveDate 10/19/2023
CertificateExpirationDate 10/18/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024