01D2158411 CLIA NUMBER - WALMART PHARMACY 10-762

Laboratory Demographics

CLIA Number: 01D2158411

Facility Name: WALMART PHARMACY 10-762

Facility Address:
9248 PARKWAY E
BIRMINGHAM, AL
ZIP 35206
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Facility Phone Number: 205 833-0524

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1710904099

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	01D2158411
LAB Type	Pharmacy
Facility Name	WALMART PHARMACY 10-762
Street	9248 PARKWAY E
City	BIRMINGHAM
State	AL
ZIP	35206
Phone	205 833-0524
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