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01D2269984 CLIA NUMBER - ALABAMA CVS PHARMACY, LLC DBA CVSPHARMACY #04936

Laboratory Demographics

CLIA Number: 01D2269984

Facility Name: ALABAMA CVS PHARMACY, LLC DBA CVSPHARMACY #04936

Facility Address:
1675 MONTCLAIR RD
BIRMINGHAM, AL
ZIP 35210
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Facility Phone Number: 401 765-1500

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1699878413

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name Field Value
CLIA Number 01D2269984
LAB Type Pharmacy
Facility Name ALABAMA CVS PHARMACY, LLC DBA CVSPHARMACY #04936
Street 1675 MONTCLAIR RD
City BIRMINGHAM
State AL
ZIP 35210
Phone 401 765-1500
CertificateType 4
CertificateEffectiveDate 10/6/2022
CertificateExpirationDate 10/5/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024