01D2158434 CLIA NUMBER - WALMART PHARMACY 10-5062

Laboratory Demographics

CLIA Number: 01D2158434

Facility Name: WALMART PHARMACY 10-5062

Facility Address:
2047 E UNIVERSITY DR
AUBURN, AL
ZIP 36830
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Facility Phone Number: 334 539-6213

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1700256500

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 01D2158434
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5062
Street 2047 E UNIVERSITY DR
City AUBURN
State AL
ZIP 36830
Phone 334 539-6213
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