01D2310375 CLIA NUMBER - WALGREENS 17197

Laboratory Demographics

  • CLIA Code: 01D2310375
  • Facility Name: WALGREENS 17197
  • Facility Address: 2912 DAUPHIN ISLAND PARKWAY
    MOBILE, AL
    ZIP 36605
  • Facility Phone: 251 406-8327
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. CANDICE H. FRENZEL
  • NPI Number: 1730602830
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2310375
LAB Type Pharmacy
Facility Name WALGREENS 17197
Street 2912 DAUPHIN ISLAND PARKWAY
City MOBILE
State AL
ZIP 36605
Phone 251 406-8327
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/3/2024
Certificate Expiration Date 9/2/2026
Facility Type Pharmacy
Lab Director DR. CANDICE H. FRENZEL

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This page was last updated on: 6/4/2025