01D2158424 CLIA NUMBER - WALMART PHARMACY 10-2723

Laboratory Demographics

  • CLIA Code: 01D2158424
  • Facility Name: WALMART PHARMACY 10-2723
  • Facility Address: 690 HIGHWAY 78
    SUMITON, AL
    ZIP 35148
  • Facility Phone: 205 648-1968
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NASSER IRANIKHAH
  • NPI Number: 1447277751
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 01D2158424
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2723
Street 690 HIGHWAY 78
City SUMITON
State AL
ZIP 35148
Phone 205 648-1968
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 NASSER IRANIKHAH

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