01D2158907 CLIA NUMBER - WALMART PHARMACY 10-1101

Laboratory Demographics

  • CLIA Code: 01D2158907
  • Facility Name: WALMART PHARMACY 10-1101
  • Facility Address: 4538 US HIGHWAY 231
    WETUMPKA, AL
    ZIP 36092
  • Facility Phone: 334 567-3077
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JONI SMART
  • NPI Number: 1811914104
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2158907
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1101
Street 4538 US HIGHWAY 231
City WETUMPKA
State AL
ZIP 36092
Phone 334 567-3077
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 JONI SMART

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