01D2158432 CLIA NUMBER - WALMART PHARMACY 10-4756

Laboratory Demographics

CLIA Number: 01D2158432

Facility Name: WALMART PHARMACY 10-4756

Facility Address:
9085 HWY 119
ALABASTER, AL
ZIP 35007
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Facility Phone Number: 205 624-6224

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1831578327

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	01D2158432
LAB Type	Pharmacy
Facility Name	WALMART PHARMACY 10-4756
Street	9085 HWY 119
City	ALABASTER
State	AL
ZIP	35007
Phone	205 624-6224
CertificateType	4
CertificateEffectiveDate	11/28/2022
CertificateExpirationDate	11/27/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024