01D2086986 CLIA NUMBER - PUBLIX PHARMACY #1400

Laboratory Demographics

  • CLIA Code: 01D2086986
  • Facility Name: PUBLIX PHARMACY #1400
  • Facility Address: 10179 EASTERN SHORE DRIVE
    SPANISH FORT, AL
    ZIP 36527
  • Facility Phone: 251 621-9771
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ALLISON M. BASSETT
  • NPI Number: 1699109348
  • Taxonomy: 183500000X - Pharmacist

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CLIA Record

Field Name Field Value
CLIA Number 01D2086986
LAB Type Pharmacy
Facility Name PUBLIX PHARMACY #1400
Street 10179 EASTERN SHORE DRIVE
City SPANISH FORT
State AL
ZIP 36527
Phone 251 621-9771
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