01D2159014 CLIA NUMBER - WALMART PHARMACY 10-5262

Laboratory Demographics

  • CLIA Code: 01D2159014
  • Facility Name: WALMART PHARMACY 10-5262
  • Facility Address: 2181 PELHAM PKWY
    PELHAM, AL
    ZIP 35124
  • Facility Phone: 205 987-0301
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NADIA C. BANILOHI
  • NPI Number: 1255358560
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2159014
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5262
Street 2181 PELHAM PKWY
City PELHAM
State AL
ZIP 35124
Phone 205 987-0301
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 NADIA C. BANILOHI

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