01D2158418 CLIA NUMBER - WALMART PHARMACY 10-1174

Laboratory Demographics

  • CLIA Code: 01D2158418
  • Facility Name: WALMART PHARMACY 10-1174
  • Facility Address: 34301 HIGHWAY 43
    THOMASVILLE, AL
    ZIP 36784
  • Facility Phone: 334 636-5449
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TIERA TAITE
  • NPI Number: 1366469652
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 01D2158418
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1174
Street 34301 HIGHWAY 43
City THOMASVILLE
State AL
ZIP 36784
Phone 334 636-5449
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 TIERA TAITE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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