01D2158450 CLIA NUMBER - WALMART PHARMACY 10-5348

Laboratory Demographics

  • CLIA Code: 01D2158450
  • Facility Name: WALMART PHARMACY 10-5348
  • Facility Address: 851 ANN ST
    MONTGOMERY, AL
    ZIP 36107
  • Facility Phone: 334 223-7181
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BERNADETTE EARLY
  • NPI Number: 1548288970
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2158450
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5348
Street 851 ANN ST
City MONTGOMERY
State AL
ZIP 36107
Phone 334 223-7181
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 BERNADETTE EARLY

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