01D2207847 CLIA NUMBER - PHARMACY CARE ASSOCIATES

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Laboratory Demographics

CLIA Number: 01D2207847

Facility Name: PHARMACY CARE ASSOCIATES

Facility Address:
1754 TRIGEEN DRIVE N
ATHENS, AL
ZIP 35613
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Facility Phone Number: 256 258-0380

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1245834720

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	01D2207847
LAB Type	Pharmacy
Facility Name	PHARMACY CARE ASSOCIATES
Street	1754 TRIGEEN DRIVE N
City	ATHENS
State	AL
ZIP	35613
Phone	256 258-0380
CertificateType	4
CertificateEffectiveDate	12/31/2022
CertificateExpirationDate	12/30/2024
FacilityType	Waiver

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