01D2086963 CLIA NUMBER - PUBLIX PHARMACY #1391

Laboratory Demographics

  • CLIA Code: 01D2086963
  • Facility Name: PUBLIX PHARMACY #1391
  • Facility Address: 2040 MARTIN STREET SOUTH
    PELL CITY, AL
    ZIP 35128
  • Facility Phone: 205 338-4081
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ALLISON M. BASSETT
  • NPI Number: 1134408339
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2086963
LAB Type Pharmacy
Facility Name PUBLIX PHARMACY #1391
Street 2040 MARTIN STREET SOUTH
City PELL CITY
State AL
ZIP 35128
Phone 205 338-4081
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

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