01D2310394 CLIA NUMBER - WALGREENS 17323

Laboratory Demographics

  • CLIA Code: 01D2310394
  • Facility Name: WALGREENS 17323
  • Facility Address: 402 NORTH CRAFT HIGHWAY
    CHICKASAW, AL
    ZIP 36611
  • Facility Phone: 251 452-0531
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. HANNAH L. CORLEY
  • NPI Number: 1427571421
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2310394
LAB Type Pharmacy
Facility Name WALGREENS 17323
Street 402 NORTH CRAFT HIGHWAY
City CHICKASAW
State AL
ZIP 36611
Phone 251 452-0531
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. HANNAH L. CORLEY

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