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01D2158912 CLIA NUMBER - WALMART PHARMACY 10-1052

Laboratory Demographics

CLIA Number: 01D2158912

Facility Name: WALMART PHARMACY 10-1052

Facility Address:
3186 HIGHWAY 171 N
FAYETTE, AL
ZIP 35555
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Facility Phone Number: 205 932-2737

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1982621280

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 01D2158912
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1052
Street 3186 HIGHWAY 171 N
City FAYETTE
State AL
ZIP 35555
Phone 205 932-2737
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