01D2295111 CLIA NUMBER - WALGREENS 19191

Laboratory Demographics

  • CLIA Code: 01D2295111
  • Facility Name: WALGREENS 19191
  • Facility Address: 9948 AIRPORT BOULEVARD
    MOBILE, AL
    ZIP 36608
  • Facility Phone: 251 633-5100
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMIE SUMMERLIN
  • NPI Number: 1457874810
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2295111
LAB Type Pharmacy
Facility Name WALGREENS 19191
Street 9948 AIRPORT BOULEVARD
City MOBILE
State AL
ZIP 36608
Phone 251 633-5100
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 AMIE SUMMERLIN

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