01D2158914 CLIA NUMBER - WALMART PHARMACY 10-930

Laboratory Demographics

  • CLIA Code: 01D2158914
  • Facility Name: WALMART PHARMACY 10-930
  • Facility Address: 3801 EASTERN BLVD
    MONTGOMERY, AL
    ZIP 36116
  • Facility Phone: 334 284-4282
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ADAM ALLEN
  • NPI Number: 1639196918
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2158914
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-930
Street 3801 EASTERN BLVD
City MONTGOMERY
State AL
ZIP 36116
Phone 334 284-4282
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 ADAM ALLEN

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