01D2159013 CLIA NUMBER - WALMART PHARMACY 10-2111

Laboratory Demographics

  • CLIA Code: 01D2159013
  • Facility Name: WALMART PHARMACY 10-2111
  • Facility Address: 5335 HIGHWAY 280
    BIRMINGHAM, AL
    ZIP 35242
  • Facility Phone: 205 980-7178
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. GERRY LAU
  • NPI Number: 1255358552
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2159013
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2111
Street 5335 HIGHWAY 280
City BIRMINGHAM
State AL
ZIP 35242
Phone 205 980-7178
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 MR. GERRY LAU

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