01D2196983 CLIA NUMBER - MILLS PHARMACY AT EUTAW

Laboratory Demographics

  • CLIA Code: 01D2196983
  • Facility Name: MILLS PHARMACY AT EUTAW
  • Facility Address: 306 MORROW AVE
    EUTAW, AL
    ZIP 35462
  • Facility Phone: 205 372-0500
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. BRIDGET BRELAND
  • NPI Number: 1750870598
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2196983
LAB Type Pharmacy
Facility Name MILLS PHARMACY AT EUTAW
Street 306 MORROW AVE
City EUTAW
State AL
ZIP 35462
Phone 205 372-0500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2024
Certificate Expiration Date 10/20/2026
Facility Type Pharmacy
Lab Director DR. BRIDGET BRELAND

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