01D2049105 CLIA NUMBER - PUBLIX PHARMACY #1294

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Laboratory Demographics

CLIA Number: 01D2049105

Facility Name: PUBLIX PHARMACY #1294

Facility Address:
2415 MOORES MILL ROAD
AUBURN, AL
ZIP 36830
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Facility Phone Number: 334 502-8672

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1659698785

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	01D2049105
LAB Type	Pharmacy
Facility Name	PUBLIX PHARMACY #1294
Street	2415 MOORES MILL ROAD
City	AUBURN
State	AL
ZIP	36830
Phone	334 502-8672
CertificateType	4
CertificateEffectiveDate	10/30/2022
CertificateExpirationDate	10/29/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024