01D2123571 CLIA NUMBER - CLEBURNE PHARMACY

Laboratory Demographics

  • CLIA Code: 01D2123571
  • Facility Name: CLEBURNE PHARMACY
  • Facility Address: 875 ROSS STREET
    HEFLIN, AL
    ZIP 36264
  • Facility Phone: 256 463-2197
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: FRANK B. TANT
  • NPI Number: 1649203365
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2123571
LAB Type Pharmacy
Facility Name CLEBURNE PHARMACY
Street 875 ROSS STREET
City HEFLIN
State AL
ZIP 36264
Phone 256 463-2197
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2024
Certificate Expiration Date 12/22/2026
Facility Type Pharmacy
Lab Director FRANK B. TANT

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