01D2292725 CLIA NUMBER - WALGREENS 10965

Laboratory Demographics

  • CLIA Code: 01D2292725
  • Facility Name: WALGREENS 10965
  • Facility Address: 920 US HIGHWAY 431
    BOAZ, AL
    ZIP 35957
  • Facility Phone: 256 593-6092
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TERRY K. PINSON
  • NPI Number: 1326239427
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2292725
LAB Type Pharmacy
Facility Name WALGREENS 10965
Street 920 US HIGHWAY 431
City BOAZ
State AL
ZIP 35957
Phone 256 593-6092
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2023
Certificate Expiration Date 10/29/2025
Facility Type Pharmacy
Lab Director TERRY K. PINSON

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