01D2086774 CLIA NUMBER - PUBLIX PHARMACY #0573

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Laboratory Demographics

CLIA Number: 01D2086774

Facility Name: PUBLIX PHARMACY #0573

Facility Address:
6707 HIGHWAY 431 S
OWENS CROSS ROADS, AL
ZIP 35763
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Facility Phone Number: 256 512-5679

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1811246812

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	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
CertificateType	4
CertificateEffectiveDate	11/12/2022
CertificateExpirationDate	11/11/2024
FacilityType	Waiver

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