01D2174727 CLIA NUMBER - ROGERSVILLE PHARMACY

Laboratory Demographics

  • CLIA Code: 01D2174727
  • Facility Name: ROGERSVILLE PHARMACY
  • Facility Address: 16135 HIGHWAY 72
    ROGERSVILLE, AL
    ZIP 35652
  • Facility Phone: 256 444-7777
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JASON S. HUMPHREYS
  • NPI Number: 1467093211
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2174727
LAB Type Pharmacy
Facility Name ROGERSVILLE PHARMACY
Street 16135 HIGHWAY 72
City ROGERSVILLE
State AL
ZIP 35652
Phone 256 444-7777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2023
Certificate Expiration Date 11/5/2025
Facility Type Pharmacy
Lab Director JASON S. HUMPHREYS

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