01D2292590 CLIA NUMBER - WALGREENS 10480

Laboratory Demographics

  • CLIA Code: 01D2292590
  • Facility Name: WALGREENS 10480
  • Facility Address: 1649 MARTIN ST N
    PELL CITY, AL
    ZIP 35125
  • Facility Phone: 205 338-2319
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMY E. BROCKWAY
  • NPI Number: 1710068143
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2292590
LAB Type Pharmacy
Facility Name WALGREENS 10480
Street 1649 MARTIN ST N
City PELL CITY
State AL
ZIP 35125
Phone 205 338-2319
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2023
Certificate Expiration Date 10/25/2025
Facility Type Pharmacy
Lab Director AMY E. BROCKWAY

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