01D2141402 CLIA NUMBER - PUBLIX PHARMACY #1609

Laboratory Demographics

  • CLIA Code: 01D2141402
  • Facility Name: PUBLIX PHARMACY #1609
  • Facility Address: 2934 MALLARD PKWY, SE
    DECATUR, AL
    ZIP 35603
  • Facility Phone: 205 824-6005
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ALLISON M. BASSETT
  • NPI Number: 1063924397
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2141402
LAB Type Pharmacy
Facility Name PUBLIX PHARMACY #1609
Street 2934 MALLARD PKWY, SE
City DECATUR
State AL
ZIP 35603
Phone 205 824-6005
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2023
Certificate Expiration Date 12/12/2025
Facility Type Pharmacy
Lab Director DR. ALLISON M. BASSETT

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