01D2095591 CLIA NUMBER - FRED'S PHARMACY

Laboratory Demographics

  • CLIA Code: 01D2095591
  • Facility Name: FRED'S PHARMACY
  • Facility Address: 797 MILITARY STREET SOUTH
    HAMILTON, AL
    ZIP 35570
  • Facility Phone: 205 921-3193
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: FRED C. SANDLIN III
  • NPI Number: 1407281355
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2095591
LAB Type Pharmacy
Facility Name FRED'S PHARMACY
Street 797 MILITARY STREET SOUTH
City HAMILTON
State AL
ZIP 35570
Phone 205 921-3193
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/7/2025
Certificate Expiration Date 5/6/2027
Facility Type Pharmacy
Lab Director FRED C. SANDLIN III

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