01D2243249 CLIA NUMBER - EASTERN SHORE PHARMACY

Laboratory Demographics

  • CLIA Code: 01D2243249
  • Facility Name: EASTERN SHORE PHARMACY
  • Facility Address: 20489 STATE HWY 181
    FAIRHOPE, AL
    ZIP 36532
  • Facility Phone: 251 928-9073
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEVEN W. GIFFORD
  • NPI Number: 1376060798
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2243249
LAB Type Pharmacy
Facility Name EASTERN SHORE PHARMACY
Street 20489 STATE HWY 181
City FAIRHOPE
State AL
ZIP 36532
Phone 251 928-9073
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2023
Certificate Expiration Date 11/16/2025
Facility Type Pharmacy
Lab Director STEVEN W. GIFFORD

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