01D2292784 CLIA NUMBER - WALGREENS 06843

Laboratory Demographics

  • CLIA Code: 01D2292784
  • Facility Name: WALGREENS 06843
  • Facility Address: 2281 E SOUTH BLVD
    MONTGOMERY, AL
    ZIP 36116
  • Facility Phone: 334 286-6678
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRISTEN W. COWAN
  • NPI Number: 1255346516
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2292784
LAB Type Pharmacy
Facility Name WALGREENS 06843
Street 2281 E SOUTH BLVD
City MONTGOMERY
State AL
ZIP 36116
Phone 334 286-6678
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 KRISTEN W. COWAN

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This page was last updated on: 3/20/2025