01D2268985 CLIA NUMBER - HEADLAND PHARMACY LLC

Laboratory Demographics

  • CLIA Code: 01D2268985
  • Facility Name: HEADLAND PHARMACY LLC
  • Facility Address: 17920 HWY 431S
    HEADLAND, AL
    ZIP 36345
  • Facility Phone: 334 785-8045
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. TYLER C. DALTON
  • NPI Number: 1508588070
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2268985
LAB Type Pharmacy
Facility Name HEADLAND PHARMACY LLC
Street 17920 HWY 431S
City HEADLAND
State AL
ZIP 36345
Phone 334 785-8045
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2024
Certificate Expiration Date 9/19/2026
Facility Type Pharmacy
Lab Director DR. TYLER C. DALTON

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