34D2140874 CLIA NUMBER - PUBLIX PHARMACY #1580

Laboratory Demographics

  • CLIA Code: 34D2140874
  • Facility Name: PUBLIX PHARMACY #1580
  • Facility Address: 7144 MARKET ST
    WILMINGTON, NC
    ZIP 28411
  • Facility Phone: 910 821-6055
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALLISON BASSETT
  • NPI Number: 1861919748
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2140874
LAB Type Pharmacy
Facility Name PUBLIX PHARMACY #1580
Street 7144 MARKET ST
City WILMINGTON
State NC
ZIP 28411
Phone 910 821-6055
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2023
Certificate Expiration Date 12/3/2025
Facility Type Pharmacy
Lab Director ALLISON BASSETT

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