01D2095195 CLIA NUMBER - LOWE'S PHARMACY, LLC

Laboratory Demographics

  • CLIA Code: 01D2095195
  • Facility Name: LOWE'S PHARMACY, LLC
  • Facility Address: 339 9TH AVE SW
    LAFAYETTE, AL
    ZIP 36862
  • Facility Phone: 334 864-9868
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RUSSELL MOORE PHD
  • NPI Number: 1922300292
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2095195
LAB Type Pharmacy
Facility Name LOWE'S PHARMACY, LLC
Street 339 9TH AVE SW
City LAFAYETTE
State AL
ZIP 36862
Phone 334 864-9868
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2025
Certificate Expiration Date 5/3/2027
Facility Type Pharmacy
Lab Director RUSSELL MOORE PHD

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