01D2215430 CLIA NUMBER - GREENE SUPER DRUG

Laboratory Demographics

  • CLIA Code: 01D2215430
  • Facility Name: GREENE SUPER DRUG
  • Facility Address: 701 NORTH GILMER AVE
    LANETT, AL
    ZIP 36863
  • Facility Phone: 334 644-3154
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTY H. SPIVEY
  • NPI Number: 1558376178
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2215430
LAB Type Pharmacy
Facility Name GREENE SUPER DRUG
Street 701 NORTH GILMER AVE
City LANETT
State AL
ZIP 36863
Phone 334 644-3154
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2025
Certificate Expiration Date 3/2/2027
Facility Type Pharmacy
Lab Director CHRISTY H. SPIVEY

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