01D2292597 CLIA NUMBER - WALGREENS 18125

Laboratory Demographics

CLIA Number: 01D2292597

Facility Name: WALGREENS 18125

Facility Address:
4200 MCFARLAND BLVD EAST
TUSCALOOSA, AL
ZIP 35405
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Facility Phone Number: 205 759-1103

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1154848612

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	01D2292597
LAB Type	Pharmacy
Facility Name	WALGREENS 18125
Street	4200 MCFARLAND BLVD EAST
City	TUSCALOOSA
State	AL
ZIP	35405
Phone	205 759-1103
CertificateType	4
CertificateEffectiveDate	10/26/2023
CertificateExpirationDate	10/25/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024