01D2250873 CLIA NUMBER - WALGREENS #06979

Laboratory Demographics

  • CLIA Code: 01D2250873
  • Facility Name: WALGREENS #06979
  • Facility Address: 2784 CARL T JONES DR SE
    HUNTSVILLE, AL
    ZIP 35802
  • Facility Phone: 256 882-2883
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KAREEN V. GOODWIN
  • NPI Number: 1982619243
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2250873
LAB Type Pharmacy
Facility Name WALGREENS #06979
Street 2784 CARL T JONES DR SE
City HUNTSVILLE
State AL
ZIP 35802
Phone 256 882-2883
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2024
Certificate Expiration Date 1/30/2026
Facility Type Pharmacy
Lab Director KAREEN V. GOODWIN

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