01D2086904 CLIA NUMBER - PUBLIX PHARMACY #1065

Laboratory Demographics

  • CLIA Code: 01D2086904
  • Facility Name: PUBLIX PHARMACY #1065
  • Facility Address: 3014 ALLISON-BONNETT MEMORIAL DR STE 130
    HUEYTOWN, AL
    ZIP 35023
  • Facility Phone: 205 497-5372
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ALLISON M. BASSETT
  • NPI Number: 1144269101
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 01D2086904
LAB Type Pharmacy
Facility Name PUBLIX PHARMACY #1065
Street 3014 ALLISON-BONNETT MEMORIAL DR STE 130
City HUEYTOWN
State AL
ZIP 35023
Phone 205 497-5372
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2024
Certificate Expiration Date 11/13/2026
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