01D2240698 CLIA NUMBER - WALGREENS #05151

Laboratory Demographics

  • CLIA Code: 01D2240698
  • Facility Name: WALGREENS #05151
  • Facility Address: 5705 COTTAGE HILL ROAD
    MOBILE, AL
    ZIP 36609
  • Facility Phone: 251 661-7763
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: FERAS AL-MALOUF
  • NPI Number: 1366457624
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2240698
LAB Type Pharmacy
Facility Name WALGREENS #05151
Street 5705 COTTAGE HILL ROAD
City MOBILE
State AL
ZIP 36609
Phone 251 661-7763
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2025
Certificate Expiration Date 10/20/2027
Facility Type Pharmacy
Lab Director FERAS AL-MALOUF

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