01D2158935 CLIA NUMBER - WALMART PHARMACY 10-287

Laboratory Demographics

  • CLIA Code: 01D2158935
  • Facility Name: WALMART PHARMACY 10-287
  • Facility Address: 1801 HIGHWAY 78 E
    JASPER, AL
    ZIP 35501
  • Facility Phone: 205 221-5110
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EMILY KLUESNER
  • NPI Number: 1891712196
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2158935
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-287
Street 1801 HIGHWAY 78 E
City JASPER
State AL
ZIP 35501
Phone 205 221-5110
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2024
Certificate Expiration Date 12/10/2026
Facility Type Pharmacy
Lab Director EMILY KLUESNER

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