01D2145722 CLIA NUMBER - PAYLESS PHARMACY

Laboratory Demographics

  • CLIA Code: 01D2145722
  • Facility Name: PAYLESS PHARMACY
  • Facility Address: 1206 7TH STREET SE
    DECATUR, AL
    ZIP 35601
  • Facility Phone: 256 353-5011
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BLAKE L. GOWEN
  • NPI Number: 1154461200
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 01D2145722
LAB Type Pharmacy
Facility Name PAYLESS PHARMACY
Street 1206 7TH STREET SE
City DECATUR
State AL
ZIP 35601
Phone 256 353-5011
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2024
Certificate Expiration Date 3/13/2026
Facility Type Pharmacy
Lab Director BLAKE L. GOWEN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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