01D2158732 CLIA NUMBER - WALMART PHARMACY 10-4407

Laboratory Demographics

  • CLIA Code: 01D2158732
  • Facility Name: WALMART PHARMACY 10-4407
  • Facility Address: 10710 CHANTILLY PKWY
    MONTGOMERY, AL
    ZIP 36117
  • Facility Phone: 334 272-7114
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANDREA AUSTIN
  • NPI Number: 1053445999
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 01D2158732
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4407
Street 10710 CHANTILLY PKWY
City MONTGOMERY
State AL
ZIP 36117
Phone 334 272-7114
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2024
Certificate Expiration Date 12/4/2026
Facility Type Pharmacy
Lab Director ANDREA AUSTIN

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