01D2145722 CLIA NUMBER - PAYLESS PHARMACY

Laboratory Demographics

CLIA Number: 01D2145722

Facility Name: PAYLESS PHARMACY

Facility Address:
1206 7TH STREET SE
DECATUR, AL
ZIP 35601
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Facility Phone Number: 256 353-5011

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1154461200

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

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
CertificateType	4
CertificateEffectiveDate	3/14/2024
CertificateExpirationDate	3/13/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024