01D2097854 CLIA NUMBER - ALBERTVILLE DISCOUNT PHARMACY

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Laboratory Demographics

CLIA Number: 01D2097854

Facility Name: ALBERTVILLE DISCOUNT PHARMACY

Facility Address:
422 NORTH BROAD STREET
ALBERTVILLE, AL
ZIP 35950
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Facility Phone Number: 256 878-7889

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1588018386

Taxonomy: 111N00000X - Chiropractor
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

CLIA Record

Field Name	Field Value
CLIA Number	01D2097854
LAB Type	Pharmacy
Facility Name	ALBERTVILLE DISCOUNT PHARMACY
Street	422 NORTH BROAD STREET
City	ALBERTVILLE
State	AL
ZIP	35950
Phone	256 878-7889
CertificateType	4
CertificateEffectiveDate	6/25/2023
CertificateExpirationDate	6/24/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024