01D2258517 CLIA NUMBER - CVS/PHARMACY #04870 ALABAMA CVS PHARMACY, LLC

Laboratory Demographics

  • CLIA Code: 01D2258517
  • Facility Name: CVS/PHARMACY #04870 ALABAMA CVS PHARMACY, LLC
  • Facility Address: 1407 QUINTARD AVE
    ANNISTON, AL
    ZIP 36201
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. NATHAN KLOSKOWSKI
  • NPI Number: 1770686404
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2258517
LAB Type Pharmacy
Facility Name CVS/PHARMACY #04870 ALABAMA CVS PHARMACY, LLC
Street 1407 QUINTARD AVE
City ANNISTON
State AL
ZIP 36201
Phone 866 389-2727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2024
Certificate Expiration Date 4/21/2026
Facility Type Pharmacy
Lab Director DR. NATHAN KLOSKOWSKI

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