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

Laboratory Demographics

CLIA Number: 01D2158435

Facility Name: WAL-MART PHARMACY 10-5100

Facility Address:
1916 CENTER POINT PKWY
BIRMINGHAM, AL
ZIP 35215
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Facility Phone Number: 205 520-5535

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1700803012

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	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
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