01D2086980 CLIA NUMBER - PUBLIX PHARMACY #1404

Laboratory Demographics

  • CLIA Code: 01D2086980
  • Facility Name: PUBLIX PHARMACY #1404
  • Facility Address: 4628 AIRPORT BLVD
    MOBILE, AL
    ZIP 36608
  • Facility Phone: 251 341-5749
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ALLISON M. BASSETT
  • NPI Number: 1730525098
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2086980
LAB Type Pharmacy
Facility Name PUBLIX PHARMACY #1404
Street 4628 AIRPORT BLVD
City MOBILE
State AL
ZIP 36608
Phone 251 341-5749
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