01D2329190 CLIA NUMBER - BROCK'S GAP PHARMACY

Laboratory Demographics

  • CLIA Code: 01D2329190
  • Facility Name: BROCK'S GAP PHARMACY
  • Facility Address: 5860 ELSIE ROAD
    HOOVER, AL
    ZIP 35244
  • Facility Phone: 205 354-6080
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROBERT P. DEVEREUX
  • NPI Number: 1235011883
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2329190
LAB Type Pharmacy
Facility Name BROCK'S GAP PHARMACY
Street 5860 ELSIE ROAD
City HOOVER
State AL
ZIP 35244
Phone 205 354-6080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2025
Certificate Expiration Date 8/24/2027
Facility Type Pharmacy
Lab Director ROBERT P. DEVEREUX

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