01D2086774 CLIA NUMBER - PUBLIX PHARMACY #0573

Laboratory Demographics

  • CLIA Code: 01D2086774
  • Facility Name: PUBLIX PHARMACY #0573
  • Facility Address: 6707 HIGHWAY 431 S
    OWENS CROSS ROADS, AL
    ZIP 35763
  • Facility Phone: 256 512-5679
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ALLISON M. BASSETT
  • NPI Number: 1811246812
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 01D2086774
LAB Type Pharmacy
Facility Name PUBLIX PHARMACY #0573
Street 6707 HIGHWAY 431 S
City OWENS CROSS ROADS
State AL
ZIP 35763
Phone 256 512-5679
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2024
Certificate Expiration Date 11/11/2026
Facility Type Pharmacy
Lab Director DR. ALLISON M. BASSETT

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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