01D2158416 CLIA NUMBER - WALMART PHARMACY 10-1158

Laboratory Demographics

  • CLIA Code: 01D2158416
  • Facility Name: WALMART PHARMACY 10-1158
  • Facility Address: 2473 HACKWORTH RD
    BIRMINGHAM, AL
    ZIP 35214
  • Facility Phone: 205 798-9619
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER KOOGLER
  • NPI Number: 1457378747
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2158416
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1158
Street 2473 HACKWORTH RD
City BIRMINGHAM
State AL
ZIP 35214
Phone 205 798-9619
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 CHRISTOPHER KOOGLER

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