34D2113585 CLIA NUMBER - PUBLIX PHARMACY #1475

Laboratory Demographics

  • CLIA Code: 34D2113585
  • Facility Name: PUBLIX PHARMACY #1475
  • Facility Address: 34 MILLER STREET
    WINSTON-SALEM, NC
    ZIP 27104
  • Facility Phone: 336 724-3711
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALLISON M. BASSETT
  • NPI Number: 1700246717
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2113585
LAB Type Pharmacy
Facility Name PUBLIX PHARMACY #1475
Street 34 MILLER STREET
City WINSTON-SALEM
State NC
ZIP 27104
Phone 336 724-3711
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2024
Certificate Expiration Date 5/24/2026
Facility Type Pharmacy
Lab Director ALLISON M. BASSETT

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