01D2158945 CLIA NUMBER - WALMART PHARMACY 10-0316

Laboratory Demographics

  • CLIA Code: 01D2158945
  • Facility Name: WALMART PHARMACY 10-0316
  • Facility Address: 973 GILBERT FERRY RD SE
    ATTALLA, AL
    ZIP 35954
  • Facility Phone: 256 538-2611
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ANTHONY AMERSON
  • NPI Number: 1447277744
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2158945
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0316
Street 973 GILBERT FERRY RD SE
City ATTALLA
State AL
ZIP 35954
Phone 256 538-2611
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 DR. ANTHONY AMERSON

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