01D2086907 CLIA NUMBER - PUBLIX PHARMACY #1073

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Laboratory Demographics

CLIA Number: 01D2086907

Facility Name: PUBLIX PHARMACY #1073

Facility Address:
9200 HIGHWAY 119
ALABASTER, AL
ZIP 35007
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Facility Phone Number: 205 663-3881

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1508805565

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	01D2086907
LAB Type	Pharmacy
Facility Name	PUBLIX PHARMACY #1073
Street	9200 HIGHWAY 119
City	ALABASTER
State	AL
ZIP	35007
Phone	205 663-3881
CertificateType	4
CertificateEffectiveDate	11/14/2022
CertificateExpirationDate	11/13/2024
FacilityType	Waiver

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