01D2209443 CLIA NUMBER - RIVER CITY PHARMACY

Home > CLIA Lookup > 01D2209443

Laboratory Demographics

CLIA Number: 01D2209443

Facility Name: RIVER CITY PHARMACY

Facility Address:
2717 SPRING AVE SW
DECATUR, AL
ZIP 35603
Get Directions

Facility Phone Number: 256 445-5400

Facility Type: Independent

Certificate Type: Waiver

NPI Number: 1104299148

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	01D2209443
LAB Type	Independent
Facility Name	RIVER CITY PHARMACY
Street	2717 SPRING AVE SW
City	DECATUR
State	AL
ZIP	35603
Phone	256 445-5400
CertificateType	4
CertificateEffectiveDate	1/13/2023
CertificateExpirationDate	1/12/2025
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