01D2159016 CLIA NUMBER - WALMART PHARMACY 10-4497

Laboratory Demographics

  • CLIA Code: 01D2159016
  • Facility Name: WALMART PHARMACY 10-4497
  • Facility Address: 1007 RED FARMER DR
    HUEYTOWN, AL
    ZIP 35023
  • Facility Phone: 205 744-9997
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TYLER W. STEWART
  • NPI Number: 1518114321
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2159016
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4497
Street 1007 RED FARMER DR
City HUEYTOWN
State AL
ZIP 35023
Phone 205 744-9997
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 TYLER W. STEWART

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