02D2012151 CLIA NUMBER - WALGREENS #12681

Laboratory Demographics

  • CLIA Code: 02D2012151
  • Facility Name: WALGREENS #12681
  • Facility Address: 1721 E GEORGE PARKS HIGHWAY
    WASILLA, AK
    ZIP 99654
  • Facility Phone: 907 631-0300
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: COURTNEY M. GREENBERG
  • NPI Number: 1760616841
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 02D2012151
LAB Type Pharmacy
Facility Name WALGREENS #12681
Street 1721 E GEORGE PARKS HIGHWAY
City WASILLA
State AK
ZIP 99654
Phone 907 631-0300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2023
Certificate Expiration Date 10/25/2025
Facility Type Pharmacy
Lab Director COURTNEY M. GREENBERG

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