01D2167283 CLIA NUMBER - CLEBURNE PHARMACY, RX PARTNERS 001, LLC

Laboratory Demographics

  • CLIA Code: 01D2167283
  • Facility Name: CLEBURNE PHARMACY, RX PARTNERS 001, LLC
  • Facility Address: 1290 MAIN STREET SOUTH
    WEDOWEE, AL
    ZIP 36278
  • Facility Phone: 256 357-2315
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JILLIAN J. CROSS
  • NPI Number: 1326537945
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2167283
LAB Type Pharmacy
Facility Name CLEBURNE PHARMACY, RX PARTNERS 001, LLC
Street 1290 MAIN STREET SOUTH
City WEDOWEE
State AL
ZIP 36278
Phone 256 357-2315
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/5/2025
Certificate Expiration Date 6/4/2027
Facility Type Pharmacy
Lab Director JILLIAN J. CROSS

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