01D2169119 CLIA NUMBER - KILPATRICK PHARMACY

Laboratory Demographics

  • CLIA Code: 01D2169119
  • Facility Name: KILPATRICK PHARMACY
  • Facility Address: 415 COUNTY ROAD 179
    CROSSVILLE, AL
    ZIP 35962
  • Facility Phone: 256 561-1500
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRANDON O. JONES
  • NPI Number: 1861918088
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2169119
LAB Type Pharmacy
Facility Name KILPATRICK PHARMACY
Street 415 COUNTY ROAD 179
City CROSSVILLE
State AL
ZIP 35962
Phone 256 561-1500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2025
Certificate Expiration Date 7/15/2027
Facility Type Pharmacy
Lab Director BRANDON O. JONES

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