01D2292649 CLIA NUMBER - WALGREENS 19190

Laboratory Demographics

  • CLIA Code: 01D2292649
  • Facility Name: WALGREENS 19190
  • Facility Address: 4906 WHITESBURG DRIVE
    HUNTSVILLE, AL
    ZIP 35802
  • Facility Phone: 256 886-0325
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARY G. COX
  • NPI Number: 1205359429
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2292649
LAB Type Pharmacy
Facility Name WALGREENS 19190
Street 4906 WHITESBURG DRIVE
City HUNTSVILLE
State AL
ZIP 35802
Phone 256 886-0325
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2023
Certificate Expiration Date 10/26/2025
Facility Type Pharmacy
Lab Director MARY G. COX

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