01D2158953 CLIA NUMBER - WALMART PHARMACY 10-681

Laboratory Demographics

  • CLIA Code: 01D2158953
  • Facility Name: WALMART PHARMACY 10-681
  • Facility Address: 11697 US HIGHWAY 431
    GUNTERSVILLE, AL
    ZIP 35976
  • Facility Phone: 256 878-8414
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIRK A. MEARS
  • NPI Number: 1174540470
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2158953
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-681
Street 11697 US HIGHWAY 431
City GUNTERSVILLE
State AL
ZIP 35976
Phone 256 878-8414
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 KIRK A. MEARS

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