01D2085768 CLIA NUMBER - CALHOUN COMPOUNDING PHARMACY

Home > CLIA Lookup > 01D2085768

Laboratory Demographics

CLIA Number: 01D2085768

Facility Name: CALHOUN COMPOUNDING PHARMACY

Facility Address:
1525 GREENBRIER DEAR ROAD
ANNISTON, AL
ZIP 36207
Get Directions

Facility Phone Number: 256 237-8139

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1598041089

Taxonomy: 3336C0004X - Pharmacy
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.

CLIA Record

Field Name	Field Value
CLIA Number	01D2085768
LAB Type	Pharmacy
Facility Name	CALHOUN COMPOUNDING PHARMACY
Street	1525 GREENBRIER DEAR ROAD
City	ANNISTON
State	AL
ZIP	36207
Phone	256 237-8139
CertificateType	4
CertificateEffectiveDate	10/22/2022
CertificateExpirationDate	10/21/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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