01D2158903 CLIA NUMBER - WALMART PHARMACY 10-1638

Laboratory Demographics

  • CLIA Code: 01D2158903
  • Facility Name: WALMART PHARMACY 10-1638
  • Facility Address: 3176 S EUFAULA AVE
    EUFAULA, AL
    ZIP 36027
  • Facility Phone: 334 687-2338
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TAYLOR BRADFORD
  • NPI Number: 1801813100
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2158903
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1638
Street 3176 S EUFAULA AVE
City EUFAULA
State AL
ZIP 36027
Phone 334 687-2338
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2024
Certificate Expiration Date 12/9/2026
Facility Type Pharmacy
Lab Director TAYLOR BRADFORD

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