01D2292654 CLIA NUMBER - WALGREENS 10664

Laboratory Demographics

  • CLIA Code: 01D2292654
  • Facility Name: WALGREENS 10664
  • Facility Address: 795 WILSON ST
    WETUMPKA, AL
    ZIP 36092
  • Facility Phone: 334 514-7135
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LYNDSAY T. MADDALONI
  • NPI Number: 1679698476
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2292654
LAB Type Pharmacy
Facility Name WALGREENS 10664
Street 795 WILSON ST
City WETUMPKA
State AL
ZIP 36092
Phone 334 514-7135
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 LYNDSAY T. MADDALONI

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