01D2158921 CLIA NUMBER - WALMART PHARMACY 10-866

Laboratory Demographics

  • CLIA Code: 01D2158921
  • Facility Name: WALMART PHARMACY 10-866
  • Facility Address: 5245 RANGELINE SERVICE RD S
    MOBILE, AL
    ZIP 36619
  • Facility Phone: 251 666-7977
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RACHEL CUMMINGS
  • NPI Number: 1144248667
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 01D2158921
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-866
Street 5245 RANGELINE SERVICE RD S
City MOBILE
State AL
ZIP 36619
Phone 251 666-7977
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 RACHEL CUMMINGS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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