01D2158949 CLIA NUMBER - WALMART PHARMACY 10-424

Laboratory Demographics

  • CLIA Code: 01D2158949
  • Facility Name: WALMART PHARMACY 10-424
  • Facility Address: 1415 7TH ST S
    CLANTON, AL
    ZIP 35045
  • Facility Phone: 205 755-5728
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GARY FRAZIER
  • NPI Number: 1437176732
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 01D2158949
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-424
Street 1415 7TH ST S
City CLANTON
State AL
ZIP 35045
Phone 205 755-5728
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 GARY FRAZIER

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