01D2105578 CLIA NUMBER - PUBLIX PHARMACY #1508

Laboratory Demographics

  • CLIA Code: 01D2105578
  • Facility Name: PUBLIX PHARMACY #1508
  • Facility Address: 2200 VILLAGE DRIVE
    MOODY, AL
    ZIP 35004
  • Facility Phone: 205 640-3237
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ALLISON M. BASSETT
  • NPI Number: 1063883536
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2105578
LAB Type Pharmacy
Facility Name PUBLIX PHARMACY #1508
Street 2200 VILLAGE DRIVE
City MOODY
State AL
ZIP 35004
Phone 205 640-3237
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/1/2023
Certificate Expiration Date 11/30/2025
Facility Type Pharmacy
Lab Director DR. ALLISON M. BASSETT

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