01D2158453 CLIA NUMBER - WALMART PHARMACY 10-5126

Laboratory Demographics

  • CLIA Code: 01D2158453
  • Facility Name: WALMART PHARMACY 10-5126
  • Facility Address: 1950 W MAIN ST
    CENTRE, AL
    ZIP 35960
  • Facility Phone: 256 927-9911
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRYSTA LOVELACE WEST
  • NPI Number: 1437176740
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2158453
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5126
Street 1950 W MAIN ST
City CENTRE
State AL
ZIP 35960
Phone 256 927-9911
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 KRYSTA LOVELACE WEST

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