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01D2158906 CLIA NUMBER - WALMART PHARMACY 10-1212

Laboratory Demographics

CLIA Number: 01D2158906

Facility Name: WALMART PHARMACY 10-1212

Facility Address:
1095 INDUSTRIAL PKWY
SARALAND, AL
ZIP 36571
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Facility Phone Number: 251 675-8073

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1629095914

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 01D2158906
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1212
Street 1095 INDUSTRIAL PKWY
City SARALAND
State AL
ZIP 36571
Phone 251 675-8073
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