01D2295108 CLIA NUMBER - WALGREENS 05861

Laboratory Demographics

  • CLIA Code: 01D2295108
  • Facility Name: WALGREENS 05861
  • Facility Address: 3107 LURLEEN B WALLACE BLVD
    NORTHPORT, AL
    ZIP 35476
  • Facility Phone: 205 333-9343
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMBER N. SMITH
  • NPI Number: 1992710255
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2295108
LAB Type Pharmacy
Facility Name WALGREENS 05861
Street 3107 LURLEEN B WALLACE BLVD
City NORTHPORT
State AL
ZIP 35476
Phone 205 333-9343
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2023
Certificate Expiration Date 12/4/2025
Facility Type Pharmacy
Lab Director AMBER N. SMITH

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