01D2158442 CLIA NUMBER - WALMART PHARMACY 10-7247

Laboratory Demographics

  • CLIA Code: 01D2158442
  • Facility Name: WALMART PHARMACY 10-7247
  • Facility Address: 911 N MAIN STREET
    ATMORE, AL
    ZIP 36502
  • Facility Phone: 251 368-1451
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KEVIN WHEELER
  • NPI Number: 1831518893
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2158442
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-7247
Street 911 N MAIN STREET
City ATMORE
State AL
ZIP 36502
Phone 251 368-1451
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 KEVIN WHEELER

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