01D2158451 CLIA NUMBER - WALMART PHARMACY 10-5197

Laboratory Demographics

  • CLIA Code: 01D2158451
  • Facility Name: WALMART PHARMACY 10-5197
  • Facility Address: 330 SUTTON RD SE
    OWENS CROSS ROADS, AL
    ZIP 35763
  • Facility Phone: 256 534-4775
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ALLEN LONG
  • NPI Number: 1790702009
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 01D2158451
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5197
Street 330 SUTTON RD SE
City OWENS CROSS ROADS
State AL
ZIP 35763
Phone 256 534-4775
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 DR. ALLEN LONG

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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