01D2049099 CLIA NUMBER - PUBLIX PHARMACY #842

Laboratory Demographics

  • CLIA Code: 01D2049099
  • Facility Name: PUBLIX PHARMACY #842
  • Facility Address: 784 MONTGOMERY HWY
    VESTAVIA HILLS, AL
    ZIP 35216
  • Facility Phone: 205 824-6010
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ALLISON M. BASSETT
  • NPI Number: 1922048354
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2049099
LAB Type Pharmacy
Facility Name PUBLIX PHARMACY #842
Street 784 MONTGOMERY HWY
City VESTAVIA HILLS
State AL
ZIP 35216
Phone 205 824-6010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2024
Certificate Expiration Date 10/29/2026
Facility Type Pharmacy
Lab Director DR. ALLISON M. BASSETT

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