01D2182969 CLIA NUMBER - PROFESSIONAL DISCOUNT PHARMACY OF JASPER AL INC

Laboratory Demographics

  • CLIA Code: 01D2182969
  • Facility Name: PROFESSIONAL DISCOUNT PHARMACY OF JASPER AL INC
  • Facility Address: 2001 NORTH AIRPORT ROAD
    JASPER, AL
    ZIP 35504
  • Facility Phone: 205 221-4564
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JASON K. BARNETT
  • NPI Number: 1275673345
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 01D2182969
LAB Type Pharmacy
Facility Name PROFESSIONAL DISCOUNT PHARMACY OF JASPER AL INC
Street 2001 NORTH AIRPORT ROAD
City JASPER
State AL
ZIP 35504
Phone 205 221-4564
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2024
Certificate Expiration Date 4/27/2026
Facility Type Pharmacy
Lab Director JASON K. BARNETT

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