01D2192487 CLIA NUMBER - GRAND BAY PHARMACY NEW GRAND BAY PHARMACY, LLC

Laboratory Demographics

  • CLIA Code: 01D2192487
  • Facility Name: GRAND BAY PHARMACY NEW GRAND BAY PHARMACY, LLC
  • Facility Address: 12475 HWY 90
    GRAND BAY, AL
    ZIP 36541
  • Facility Phone: 251 865-5555
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. STANLEY ROSS HATCHER
  • NPI Number: 1467766865
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2192487
LAB Type Pharmacy
Facility Name GRAND BAY PHARMACY NEW GRAND BAY PHARMACY, LLC
Street 12475 HWY 90
City GRAND BAY
State AL
ZIP 36541
Phone 251 865-5555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/10/2024
Certificate Expiration Date 9/9/2026
Facility Type Pharmacy
Lab Director DR. STANLEY ROSS HATCHER

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