01D2291483 CLIA NUMBER - WALGREENS 11404

Laboratory Demographics

  • CLIA Code: 01D2291483
  • Facility Name: WALGREENS 11404
  • Facility Address: 4400 UNIVERSITY BLVD E
    TUSCALOOSA, AL
    ZIP 35404
  • Facility Phone: 205 553-6188
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. SHUANA D. FORD
  • NPI Number: 1538331186
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2291483
LAB Type Pharmacy
Facility Name WALGREENS 11404
Street 4400 UNIVERSITY BLVD E
City TUSCALOOSA
State AL
ZIP 35404
Phone 205 553-6188
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2025
Certificate Expiration Date 10/10/2027
Facility Type Pharmacy
Lab Director MS. SHUANA D. FORD

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