01D2158983 CLIA NUMBER - WALMART PHARMACY 10-740

Laboratory Demographics

  • CLIA Code: 01D2158983
  • Facility Name: WALMART PHARMACY 10-740
  • Facility Address: 1537 S US HIGHWAY 231
    OZARK, AL
    ZIP 36360
  • Facility Phone: 334 774-5508
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BENJAMIN MARLER
  • NPI Number: 1083632400
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2158983
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-740
Street 1537 S US HIGHWAY 231
City OZARK
State AL
ZIP 36360
Phone 334 774-5508
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 BENJAMIN MARLER

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