01D2310163 CLIA NUMBER - LUDS PHARMACY

Laboratory Demographics

  • CLIA Code: 01D2310163
  • Facility Name: LUDS PHARMACY
  • Facility Address: 172 LUDS WAY, SUITE 100
    DOTHAN, AL
    ZIP 36303
  • Facility Phone: 334 475-0646
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. TAI H. BOLAJI
  • NPI Number: 1669253654
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 01D2310163
LAB Type Pharmacy
Facility Name LUDS PHARMACY
Street 172 LUDS WAY, SUITE 100
City DOTHAN
State AL
ZIP 36303
Phone 334 475-0646
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/28/2024
Certificate Expiration Date 8/27/2026
Facility Type Pharmacy
Lab Director DR. TAI H. BOLAJI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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