01D2158439 CLIA NUMBER - WALMART PHARMACY 10-5903

Laboratory Demographics

  • CLIA Code: 01D2158439
  • Facility Name: WALMART PHARMACY 10-5903
  • Facility Address: 3864 US HIGHWAY 80 W
    PHENIX CITY, AL
    ZIP 36870
  • Facility Phone: 334 408-6068
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAURA PERRY
  • NPI Number: 1629448451
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2158439
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5903
Street 3864 US HIGHWAY 80 W
City PHENIX CITY
State AL
ZIP 36870
Phone 334 408-6068
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 LAURA PERRY

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