01D2158452 CLIA NUMBER - WALMART PHARMACY 10-5174

Laboratory Demographics

  • CLIA Code: 01D2158452
  • Facility Name: WALMART PHARMACY 10-5174
  • Facility Address: 7855 MOFFETT RD
    SEMMES, AL
    ZIP 36575
  • Facility Phone: 251 645-8184
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LATONYA CARSON
  • NPI Number: 1346267655
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2158452
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5174
Street 7855 MOFFETT RD
City SEMMES
State AL
ZIP 36575
Phone 251 645-8184
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 LATONYA CARSON

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