01D2086974 CLIA NUMBER - PUBLIX PHARMACY #1213

Laboratory Demographics

  • CLIA Code: 01D2086974
  • Facility Name: PUBLIX PHARMACY #1213
  • Facility Address: 25771 PERDIDO BEACH BLVD
    ORANGE BEACH, AL
    ZIP 36561
  • Facility Phone: 251 980-1445
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ALLISON M. BASSETT
  • NPI Number: 1447414941
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2086974
LAB Type Pharmacy
Facility Name PUBLIX PHARMACY #1213
Street 25771 PERDIDO BEACH BLVD
City ORANGE BEACH
State AL
ZIP 36561
Phone 251 980-1445
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