01D2169145 CLIA NUMBER - CLARK'S PHARMACY

Laboratory Demographics

  • CLIA Code: 01D2169145
  • Facility Name: CLARK'S PHARMACY
  • Facility Address: 241 BILLY DYAR BLVD
    BOAZ, AL
    ZIP 35957
  • Facility Phone: 256 840-1100
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRANDON O. JONES
  • NPI Number: 1265479778
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2169145
LAB Type Pharmacy
Facility Name CLARK'S PHARMACY
Street 241 BILLY DYAR BLVD
City BOAZ
State AL
ZIP 35957
Phone 256 840-1100
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