01D2196611 CLIA NUMBER - THREE NOTCH PHARMACY THREE NOTCH PHARMACY, LLC

Laboratory Demographics

  • CLIA Code: 01D2196611
  • Facility Name: THREE NOTCH PHARMACY THREE NOTCH PHARMACY, LLC
  • Facility Address: 4880 LAKELAND DRIVE, SUITE F
    MOBILE, AL
    ZIP 36619
  • Facility Phone: 251 661-0066
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMES L. KRUSE
  • NPI Number: 1881963460
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2196611
LAB Type Pharmacy
Facility Name THREE NOTCH PHARMACY THREE NOTCH PHARMACY, LLC
Street 4880 LAKELAND DRIVE, SUITE F
City MOBILE
State AL
ZIP 36619
Phone 251 661-0066
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2024
Certificate Expiration Date 10/18/2026
Facility Type Pharmacy
Lab Director JAMES L. KRUSE

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