01D2293846 CLIA NUMBER - WALGREENS 18374

Laboratory Demographics

  • CLIA Code: 01D2293846
  • Facility Name: WALGREENS 18374
  • Facility Address: 459 N BRODNAX ST
    DADEVILLE, AL
    ZIP 36853
  • Facility Phone: 256 825-4242
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACOB W. KENNEY
  • NPI Number: 1881117216
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 01D2293846
LAB Type Pharmacy
Facility Name WALGREENS 18374
Street 459 N BRODNAX ST
City DADEVILLE
State AL
ZIP 36853
Phone 256 825-4242
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2023
Certificate Expiration Date 11/14/2025
Facility Type Pharmacy
Lab Director JACOB W. KENNEY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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