01D2158978 CLIA NUMBER - WALMART PHARMACY 10-733

Laboratory Demographics

  • CLIA Code: 01D2158978
  • Facility Name: WALMART PHARMACY 10-733
  • Facility Address: 3501 20TH AVE
    VALLEY, AL
    ZIP 36854
  • Facility Phone: 334 768-2110
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEREMY POWERS
  • NPI Number: 1992722201
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2158978
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-733
Street 3501 20TH AVE
City VALLEY
State AL
ZIP 36854
Phone 334 768-2110
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 JEREMY POWERS

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