01D2158435 CLIA NUMBER - WAL-MART PHARMACY 10-5100

Laboratory Demographics

  • CLIA Code: 01D2158435
  • Facility Name: WAL-MART PHARMACY 10-5100
  • Facility Address: 1916 CENTER POINT PKWY
    BIRMINGHAM, AL
    ZIP 35215
  • Facility Phone: 205 520-5535
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: OONA VEGA MCANNALLY
  • NPI Number: 1700803012
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2158435
LAB Type Pharmacy
Facility Name WAL-MART PHARMACY 10-5100
Street 1916 CENTER POINT PKWY
City BIRMINGHAM
State AL
ZIP 35215
Phone 205 520-5535
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 OONA VEGA MCANNALLY

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