01D2141412 CLIA NUMBER - PUBLIX PHARMACY #1604

Laboratory Demographics

  • CLIA Code: 01D2141412
  • Facility Name: PUBLIX PHARMACY #1604
  • Facility Address: 100 N FLORIDA ST
    MOBILE, AL
    ZIP 36607
  • Facility Phone: 850 429-1026
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ALLISON M. BASSETT
  • NPI Number: 1790297000
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2141412
LAB Type Pharmacy
Facility Name PUBLIX PHARMACY #1604
Street 100 N FLORIDA ST
City MOBILE
State AL
ZIP 36607
Phone 850 429-1026
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