01D2182872 CLIA NUMBER - GULF SHORES FAMILY PHARMACY

Laboratory Demographics

  • CLIA Code: 01D2182872
  • Facility Name: GULF SHORES FAMILY PHARMACY
  • Facility Address: 251 CLUBHOUSE DRIVE
    GULF SHORES, AL
    ZIP 36542
  • Facility Phone: 251 968-3784
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STACEY DAVIS
  • NPI Number: 1497015077
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2182872
LAB Type Pharmacy
Facility Name GULF SHORES FAMILY PHARMACY
Street 251 CLUBHOUSE DRIVE
City GULF SHORES
State AL
ZIP 36542
Phone 251 968-3784
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2024
Certificate Expiration Date 4/26/2026
Facility Type Pharmacy
Lab Director STACEY DAVIS

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