Healther Providers Data Logo

01D2158952 CLIA NUMBER - WALMART PHARMACY 10-670

Laboratory Demographics

CLIA Number: 01D2158952

Facility Name: WALMART PHARMACY 10-670

Facility Address:
626 OLIVE ST SW
CULLMAN, AL
ZIP 35055
Get Directions

Facility Phone Number: 256 739-3390

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1720005002

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 01D2158952
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-670
Street 626 OLIVE ST SW
City CULLMAN
State AL
ZIP 35055
Phone 256 739-3390
CertificateType 4
CertificateEffectiveDate 12/11/2022
CertificateExpirationDate 12/10/2024
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

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

Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024