01D2177052 CLIA NUMBER - STAR DISCOUNT PHARMACY #3

Laboratory Demographics

  • CLIA Code: 01D2177052
  • Facility Name: STAR DISCOUNT PHARMACY #3
  • Facility Address: 8020 HWY 72 WEST SUITE G
    MADISON, AL
    ZIP 35758
  • Facility Phone: 256 721-0739
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KEITH H. CANTRELL
  • NPI Number: 1093793820
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2177052
LAB Type Pharmacy
Facility Name STAR DISCOUNT PHARMACY #3
Street 8020 HWY 72 WEST SUITE G
City MADISON
State AL
ZIP 35758
Phone 256 721-0739
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 KEITH H. CANTRELL

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