01D2086787 CLIA NUMBER - PUBLIX PHARMACY #0882

Laboratory Demographics

  • CLIA Code: 01D2086787
  • Facility Name: PUBLIX PHARMACY #0882
  • Facility Address: 410 DOUG BAKER BLVD
    BIRMINGHAM, AL
    ZIP 35242
  • Facility Phone: 205 981-7420
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ALLISON M. BASSETT
  • NPI Number: 1740220177
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2086787
LAB Type Pharmacy
Facility Name PUBLIX PHARMACY #0882
Street 410 DOUG BAKER BLVD
City BIRMINGHAM
State AL
ZIP 35242
Phone 205 981-7420
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