01D2165972 CLIA NUMBER - CROSSROAD PHARMACY

Laboratory Demographics

  • CLIA Code: 01D2165972
  • Facility Name: CROSSROAD PHARMACY
  • Facility Address: 2800 HWY 101
    ROGERSVILLE, AL
    ZIP 35652
  • Facility Phone: 256 247-5833
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KEN W. ADAY
  • NPI Number: 1467531129
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2165972
LAB Type Pharmacy
Facility Name CROSSROAD PHARMACY
Street 2800 HWY 101
City ROGERSVILLE
State AL
ZIP 35652
Phone 256 247-5833
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2025
Certificate Expiration Date 5/7/2027
Facility Type Pharmacy
Lab Director KEN W. ADAY

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