01D2306258 CLIA NUMBER - WALGREEN'S 17115

Laboratory Demographics

  • CLIA Code: 01D2306258
  • Facility Name: WALGREEN'S 17115
  • Facility Address: 3151 DAUPHIN ST
    MOBILE, AL
    ZIP 36606
  • Facility Phone: 251 287-9581
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. PENNY D. PICKERING
  • NPI Number: 1235652462
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2306258
LAB Type Pharmacy
Facility Name WALGREEN'S 17115
Street 3151 DAUPHIN ST
City MOBILE
State AL
ZIP 36606
Phone 251 287-9581
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/13/2024
Certificate Expiration Date 6/12/2026
Facility Type Pharmacy
Lab Director MS. PENNY D. PICKERING

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