01D2196663 CLIA NUMBER - COTTRELL'S HOMETOWN PHARMACY COTTRELL'S HOMETOWN PHARMACY PC

Laboratory Demographics

  • CLIA Code: 01D2196663
  • Facility Name: COTTRELL'S HOMETOWN PHARMACY COTTRELL'S HOMETOWN PHARMACY PC
  • Facility Address: 305 FORREST AVENUE
    BREWTON, AL
    ZIP 36426
  • Facility Phone: 251 809-1010
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JESSICA L. HUNG
  • NPI Number: 1285105668
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2196663
LAB Type Pharmacy
Facility Name COTTRELL'S HOMETOWN PHARMACY COTTRELL'S HOMETOWN PHARMACY PC
Street 305 FORREST AVENUE
City BREWTON
State AL
ZIP 36426
Phone 251 809-1010
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 JESSICA L. HUNG

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