01D2086779 CLIA NUMBER - PUBLIX PHARMACY #0598

Laboratory Demographics

  • CLIA Code: 01D2086779
  • Facility Name: PUBLIX PHARMACY #0598
  • Facility Address: 8000 MADISON BOULEVARD SUITE A
    MADISON, AL
    ZIP 35758
  • Facility Phone: 256 461-6467
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ALLISON M. BASSETT
  • NPI Number: 1689614000
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2086779
LAB Type Pharmacy
Facility Name PUBLIX PHARMACY #0598
Street 8000 MADISON BOULEVARD SUITE A
City MADISON
State AL
ZIP 35758
Phone 256 461-6467
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

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