01D2188114 CLIA NUMBER - HERITAGE PHARMACY

Laboratory Demographics

  • CLIA Code: 01D2188114
  • Facility Name: HERITAGE PHARMACY
  • Facility Address: 1701 MAIN AVE, SW, SUITE C
    CULLMAN, AL
    ZIP 35055
  • Facility Phone: 256 737-3773
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RITA K. FREEMAN
  • NPI Number: 1124189949
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2188114
LAB Type Pharmacy
Facility Name HERITAGE PHARMACY
Street 1701 MAIN AVE, SW, SUITE C
City CULLMAN
State AL
ZIP 35055
Phone 256 737-3773
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2024
Certificate Expiration Date 7/12/2026
Facility Type Pharmacy
Lab Director RITA K. FREEMAN

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