01D2158970 CLIA NUMBER - WALMART PHARMACY 10-700

Laboratory Demographics

  • CLIA Code: 01D2158970
  • Facility Name: WALMART PHARMACY 10-700
  • Facility Address: 1501 AL HIGHWAY 14 E
    SELMA, AL
    ZIP 36703
  • Facility Phone: 334 874-9359
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMANDA ATCHISON
  • NPI Number: 1700804127
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2158970
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-700
Street 1501 AL HIGHWAY 14 E
City SELMA
State AL
ZIP 36703
Phone 334 874-9359
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 AMANDA ATCHISON

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