01D2105157 CLIA NUMBER - PUBLIX PHARMACY #1476

Laboratory Demographics

  • CLIA Code: 01D2105157
  • Facility Name: PUBLIX PHARMACY #1476
  • Facility Address: 128 W GRAND AVE
    RAINBOW CITY, AL
    ZIP 35906
  • Facility Phone: 256 442-2581
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ALLISON M. BASSETT
  • NPI Number: 1023489390
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2105157
LAB Type Pharmacy
Facility Name PUBLIX PHARMACY #1476
Street 128 W GRAND AVE
City RAINBOW CITY
State AL
ZIP 35906
Phone 256 442-2581
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2023
Certificate Expiration Date 11/18/2025
Facility Type Pharmacy
Lab Director DR. ALLISON M. BASSETT

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