01D2086983 CLIA NUMBER - PUBLIX PHARMACY #1362

Laboratory Demographics

  • CLIA Code: 01D2086983
  • Facility Name: PUBLIX PHARMACY #1362
  • Facility Address: 27955 US HIGHWAY 98 SUITE 1
    DAPHNE, AL
    ZIP 36526
  • Facility Phone: 251 626-1349
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ALLISON M. BASSETT
  • NPI Number: 1699075432
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2086983
LAB Type Pharmacy
Facility Name PUBLIX PHARMACY #1362
Street 27955 US HIGHWAY 98 SUITE 1
City DAPHNE
State AL
ZIP 36526
Phone 251 626-1349
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