01D2193906 CLIA NUMBER - INTEGRACARE PHARMACY INC

Home > CLIA Lookup > 01D2193906

Laboratory Demographics

CLIA Number: 01D2193906

Facility Name: INTEGRACARE PHARMACY INC

Facility Address:
199 CORPORATE WOODS DRIVE
ALABASTER, AL
ZIP 35007
Get Directions

Facility Phone Number: 866 236-4057

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1114359817

Taxonomy: 3336L0003X - Pharmacy
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

CLIA Record

Field Name	Field Value
CLIA Number	01D2193906
LAB Type	Pharmacy
Facility Name	INTEGRACARE PHARMACY INC
Street	199 CORPORATE WOODS DRIVE
City	ALABASTER
State	AL
ZIP	35007
Phone	866 236-4057
CertificateType	4
CertificateEffectiveDate	9/25/2022
CertificateExpirationDate	9/24/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024