01D2158412 CLIA NUMBER - WALMART PHARMACY 10-764

Laboratory Demographics

  • CLIA Code: 01D2158412
  • Facility Name: WALMART PHARMACY 10-764
  • Facility Address: 750 ACADEMY DR
    BESSEMER, AL
    ZIP 35022
  • Facility Phone: 205 424-5895
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TERANCE MOORE
  • NPI Number: 1578937942
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2158412
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-764
Street 750 ACADEMY DR
City BESSEMER
State AL
ZIP 35022
Phone 205 424-5895
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/28/2024
Certificate Expiration Date 11/27/2026
Facility Type Pharmacy
Lab Director TERANCE MOORE

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This page was last updated on: 6/4/2025