01D2158946 CLIA NUMBER - WALMART PHARMACY 10-332

Laboratory Demographics

  • CLIA Code: 01D2158946
  • Facility Name: WALMART PHARMACY 10-332
  • Facility Address: 6140 A UNIV DRIVE
    HUNTSVILLE, AL
    ZIP 35806
  • Facility Phone: 256 837-1656
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ENIQUA TYREE
  • NPI Number: 1962420489
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2158946
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-332
Street 6140 A UNIV DRIVE
City HUNTSVILLE
State AL
ZIP 35806
Phone 256 837-1656
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 ENIQUA TYREE

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