01D2158420 CLIA NUMBER - WALMART PHARMACY 10-1493

Laboratory Demographics

  • CLIA Code: 01D2158420
  • Facility Name: WALMART PHARMACY 10-1493
  • Facility Address: 3371 S ALABAMA AVE
    MONROEVILLE, AL
    ZIP 36460
  • Facility Phone: 251 575-3383
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KELLIE H. SIMPSON
  • NPI Number: 1457378754
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2158420
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1493
Street 3371 S ALABAMA AVE
City MONROEVILLE
State AL
ZIP 36460
Phone 251 575-3383
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 KELLIE H. SIMPSON

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