01D2183038 CLIA NUMBER - CLEVELAND PHARMACY

Laboratory Demographics

  • CLIA Code: 01D2183038
  • Facility Name: CLEVELAND PHARMACY
  • Facility Address: 36321 STATE HWY 79
    CLEVELAND, AL
    ZIP 35049
  • Facility Phone: 205 274-8000
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIM E. LARUE
  • NPI Number: 1295758340
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2183038
LAB Type Pharmacy
Facility Name CLEVELAND PHARMACY
Street 36321 STATE HWY 79
City CLEVELAND
State AL
ZIP 35049
Phone 205 274-8000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2024
Certificate Expiration Date 4/28/2026
Facility Type Pharmacy
Lab Director KIM E. LARUE

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