01D2192110 CLIA NUMBER - SAM GLOVER DRUG

Laboratory Demographics

  • CLIA Code: 01D2192110
  • Facility Name: SAM GLOVER DRUG
  • Facility Address: 408 18TH STREET WEST
    JASPER, AL
    ZIP 35501
  • Facility Phone: 205 387-1481
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERIC V. SHORT
  • NPI Number: 1326145574
  • Taxonomy: 183500000X - Pharmacist

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CLIA Record

Field Name Field Value
CLIA Number 01D2192110
LAB Type Pharmacy
Facility Name SAM GLOVER DRUG
Street 408 18TH STREET WEST
City JASPER
State AL
ZIP 35501
Phone 205 387-1481
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/4/2024
Certificate Expiration Date 9/3/2026
Facility Type Pharmacy
Lab Director ERIC V. SHORT

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