01D2047138 CLIA NUMBER - MARBLE CITY PHARMACY

Laboratory Demographics

  • CLIA Code: 01D2047138
  • Facility Name: MARBLE CITY PHARMACY
  • Facility Address: 264 W FORT WILLIAMS ST
    SYLACAUGA, AL
    ZIP 35150
  • Facility Phone: 256 245-4446
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JARED K. JOHNSON
  • NPI Number: 1417954488
  • Taxonomy: 183500000X - Pharmacist

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CLIA Record

Field Name Field Value
CLIA Number 01D2047138
LAB Type Pharmacy
Facility Name MARBLE CITY PHARMACY
Street 264 W FORT WILLIAMS ST
City SYLACAUGA
State AL
ZIP 35150
Phone 256 245-4446
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2024
Certificate Expiration Date 9/17/2026
Facility Type Pharmacy
Lab Director JARED K. JOHNSON

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