01D2292650 CLIA NUMBER - WALGREENS 11279

Laboratory Demographics

  • CLIA Code: 01D2292650
  • Facility Name: WALGREENS 11279
  • Facility Address: 7155 US HIGHWAY 431
    ALBERTVILLE, AL
    ZIP 35950
  • Facility Phone: 256 878-4447
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JERRY D. WHITESIDE
  • NPI Number: 1902076508
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2292650
LAB Type Pharmacy
Facility Name WALGREENS 11279
Street 7155 US HIGHWAY 431
City ALBERTVILLE
State AL
ZIP 35950
Phone 256 878-4447
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 JERRY D. WHITESIDE

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