01D2191869 CLIA NUMBER - DOUGLAS DISCOUNT PHARMACY

Laboratory Demographics

  • CLIA Code: 01D2191869
  • Facility Name: DOUGLAS DISCOUNT PHARMACY
  • Facility Address: 9461 AL HWY 75
    HORTON, AL
    ZIP 35980
  • Facility Phone: 256 593-1750
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JIM B. GANN
  • NPI Number: 1093885097
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2191869
LAB Type Pharmacy
Facility Name DOUGLAS DISCOUNT PHARMACY
Street 9461 AL HWY 75
City HORTON
State AL
ZIP 35980
Phone 256 593-1750
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/2/2024
Certificate Expiration Date 9/1/2026
Facility Type Pharmacy
Lab Director JIM B. GANN

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