01D2258799 CLIA NUMBER - WALGREENS #06483

Laboratory Demographics

  • CLIA Code: 01D2258799
  • Facility Name: WALGREENS #06483
  • Facility Address: 2515 CRAWFORD RD
    PHENIX CITY, AL
    ZIP 36867
  • Facility Phone: 334 297-3722
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ALEXANDER L. GLASS
  • NPI Number: 1437164795
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2258799
LAB Type Pharmacy
Facility Name WALGREENS #06483
Street 2515 CRAWFORD RD
City PHENIX CITY
State AL
ZIP 36867
Phone 334 297-3722
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2024
Certificate Expiration Date 4/26/2026
Facility Type Pharmacy
Lab Director DR. ALEXANDER L. GLASS

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