01D2159070 CLIA NUMBER - WALMART PHARMACY 10-329

Laboratory Demographics

  • CLIA Code: 01D2159070
  • Facility Name: WALMART PHARMACY 10-329
  • Facility Address: 5560 MCCLELLAN BLVD
    ANNISTON, AL
    ZIP 36206
  • Facility Phone: 256 820-0994
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER M. EVANS
  • NPI Number: 1083631386
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2159070
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-329
Street 5560 MCCLELLAN BLVD
City ANNISTON
State AL
ZIP 36206
Phone 256 820-0994
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2024
Certificate Expiration Date 12/11/2026
Facility Type Pharmacy
Lab Director CHRISTOPHER M. EVANS

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