01D2097987 CLIA NUMBER - BRYAN PHARMACY INC

Laboratory Demographics

  • CLIA Code: 01D2097987
  • Facility Name: BRYAN PHARMACY INC
  • Facility Address: 736 GLOVER AVE
    ENTERPRISE, AL
    ZIP 36330
  • Facility Phone: 334 347-5111
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GIBES GIBES PHARM D
  • NPI Number: 1851399596
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2097987
LAB Type Pharmacy
Facility Name BRYAN PHARMACY INC
Street 736 GLOVER AVE
City ENTERPRISE
State AL
ZIP 36330
Phone 334 347-5111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2025
Certificate Expiration Date 6/28/2027
Facility Type Pharmacy
Lab Director GIBES GIBES PHARM D

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