01D2190611 CLIA NUMBER - BAYOU PHARMACY BAYOU PHARMACY LLC

Laboratory Demographics

  • CLIA Code: 01D2190611
  • Facility Name: BAYOU PHARMACY BAYOU PHARMACY LLC
  • Facility Address: 12855 PADGETT SWITCH
    IRVINGTON, AL
    ZIP 36544
  • Facility Phone: 251 824-7979
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. RUBESH PATEL
  • NPI Number: 1629304183
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2190611
LAB Type Pharmacy
Facility Name BAYOU PHARMACY BAYOU PHARMACY LLC
Street 12855 PADGETT SWITCH
City IRVINGTON
State AL
ZIP 36544
Phone 251 824-7979
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2024
Certificate Expiration Date 8/16/2026
Facility Type Pharmacy
Lab Director DR. RUBESH PATEL

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