01D2172077 CLIA NUMBER - LEE DRUG STORE INC

Laboratory Demographics

  • CLIA Code: 01D2172077
  • Facility Name: LEE DRUG STORE INC
  • Facility Address: 18530 FLORIDA STREET
    ROBERTSDALE, AL
    ZIP 36567
  • Facility Phone: 251 947-7378
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NICOLE H. HALL
  • NPI Number: 1568480507
  • Taxonomy: 183500000X - Pharmacist

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CLIA Record

Field Name Field Value
CLIA Number 01D2172077
LAB Type Pharmacy
Facility Name LEE DRUG STORE INC
Street 18530 FLORIDA STREET
City ROBERTSDALE
State AL
ZIP 36567
Phone 251 947-7378
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2025
Certificate Expiration Date 9/15/2027
Facility Type Pharmacy
Lab Director NICOLE H. HALL

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