01D2257364 CLIA NUMBER - KC DRUG

Laboratory Demographics

  • CLIA Code: 01D2257364
  • Facility Name: KC DRUG
  • Facility Address: 40870 AL HWY 69 STE D
    MOUNDVILLE, AL
    ZIP 35474
  • Facility Phone: 205 371-8755
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIM CREWS
  • NPI Number: 1497139497
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2257364
LAB Type Pharmacy
Facility Name KC DRUG
Street 40870 AL HWY 69 STE D
City MOUNDVILLE
State AL
ZIP 35474
Phone 205 371-8755
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/4/2024
Certificate Expiration Date 4/3/2026
Facility Type Pharmacy
Lab Director KIM CREWS

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