01D2177049 CLIA NUMBER - STAR DISCOUNT PHARMACY #4

Laboratory Demographics

  • CLIA Code: 01D2177049
  • Facility Name: STAR DISCOUNT PHARMACY #4
  • Facility Address: 7900 BAILEY COVE ROAD SUITE R
    HUNTSVILLE, AL
    ZIP 35802
  • Facility Phone: 256 650-2335
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRISTA D. PLAXCO
  • NPI Number: 1306023288
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2177049
LAB Type Pharmacy
Facility Name STAR DISCOUNT PHARMACY #4
Street 7900 BAILEY COVE ROAD SUITE R
City HUNTSVILLE
State AL
ZIP 35802
Phone 256 650-2335
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/2/2024
Certificate Expiration Date 1/1/2026
Facility Type Pharmacy
Lab Director KRISTA D. PLAXCO

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