01D2158904 CLIA NUMBER - WALMART PHARMACY 10-1462

Laboratory Demographics

CLIA Number: 01D2158904

Facility Name: WALMART PHARMACY 10-1462

Facility Address:
501 WILLOW LN
GREENVILLE, AL
ZIP 36037
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Facility Phone Number: 334 382-7456

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1548287840

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	01D2158904
LAB Type	Pharmacy
Facility Name	WALMART PHARMACY 10-1462
Street	501 WILLOW LN
City	GREENVILLE
State	AL
ZIP	36037
Phone	334 382-7456
CertificateType	4
CertificateEffectiveDate	12/10/2022
CertificateExpirationDate	12/9/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024