01D2183904 CLIA NUMBER - MEDICAL CENTER PHARMACY

Laboratory Demographics

CLIA Number: 01D2183904

Facility Name: MEDICAL CENTER PHARMACY

Facility Address:
507 N COLOMBIA AVENUE
SHEFFIELD, AL
ZIP 35660
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Facility Phone Number: 256 381-4311

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1386005247

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	01D2183904
LAB Type	Pharmacy
Facility Name	MEDICAL CENTER PHARMACY
Street	507 N COLOMBIA AVENUE
City	SHEFFIELD
State	AL
ZIP	35660
Phone	256 381-4311
CertificateType	4
CertificateEffectiveDate	5/12/2022
CertificateExpirationDate	5/11/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024