01D2158409 CLIA NUMBER - WALMART PHARMACY 10-0423

Laboratory Demographics

CLIA Number: 01D2158409

Facility Name: WALMART PHARMACY 10-0423

Facility Address:
630 COLONIAL PROMENADE PKWY
ALABASTER, AL
ZIP 35007
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Facility Phone Number: 205 663-3411

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1629095922

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 01D2158409
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0423
Street 630 COLONIAL PROMENADE PKWY
City ALABASTER
State AL
ZIP 35007
Phone 205 663-3411
CertificateType 4
CertificateEffectiveDate 11/28/2022
CertificateExpirationDate 11/27/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024