01D2226010 CLIA NUMBER - HUNTSVILLE COMPOUNDING PHARMACY

Laboratory Demographics

  • CLIA Code: 01D2226010
  • Facility Name: HUNTSVILLE COMPOUNDING PHARMACY
  • Facility Address: 800 DR JOSEPH E LOWERY BLVD, SUITE D
    HUNTSVILLE, AL
    ZIP 35801
  • Facility Phone: 256 425-0123
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HEATHER R. BLACK
  • NPI Number: 1194810036
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2226010
LAB Type Pharmacy
Facility Name HUNTSVILLE COMPOUNDING PHARMACY
Street 800 DR JOSEPH E LOWERY BLVD, SUITE D
City HUNTSVILLE
State AL
ZIP 35801
Phone 256 425-0123
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2025
Certificate Expiration Date 5/25/2027
Facility Type Pharmacy
Lab Director HEATHER R. BLACK

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