01D2299855 CLIA NUMBER - WALGREENS 05072

Laboratory Demographics

  • CLIA Code: 01D2299855
  • Facility Name: WALGREENS 05072
  • Facility Address: 2505 HIGHWAY 150
    HOOVER, AL
    ZIP 35244
  • Facility Phone: 205 982-9696
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAQUAY BROOKS
  • NPI Number: 1548275803
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2299855
LAB Type Pharmacy
Facility Name WALGREENS 05072
Street 2505 HIGHWAY 150
City HOOVER
State AL
ZIP 35244
Phone 205 982-9696
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/28/2024
Certificate Expiration Date 2/27/2026
Facility Type Pharmacy
Lab Director JAQUAY BROOKS

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