CLIA lab

CLIA 01D2169145: Clark's Pharmacy

Boaz, AL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 01D2169145 belongs to Clark's Pharmacy in Boaz, AL.

Certificate of Waiver, effective July 16, 2025, expires July 15, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
July 16, 2025
Certificate expiration
July 15, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
July 16, 2019
Facility type
Pharmacy
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
01D2169145
Lab name
Clark's Pharmacy
Address
241 Billy Dyar Blvd, Boaz, AL 35957
Phone
(256) 840-1100
Fax
(256) 840-1119

Annual test volume the lab reported

Waived tests
400

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Clark's Pharmacy in Boaz?

01D2169145, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Clark's Pharmacy hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 01D2169145 expire?

The CMS file lists July 15, 2027 as the certificate expiration date; the certificate took effect July 16, 2025.

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