01D2159071 CLIA NUMBER - WALMART PHARMACY 10-356

Laboratory Demographics

CLIA Number: 01D2159071

Facility Name: WALMART PHARMACY 10-356

Facility Address:
1717 S COLLEGE ST
AUBURN, AL
ZIP 36832
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Facility Phone Number: 334 821-2616

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1720005028

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	01D2159071
LAB Type	Pharmacy
Facility Name	WALMART PHARMACY 10-356
Street	1717 S COLLEGE ST
City	AUBURN
State	AL
ZIP	36832
Phone	334 821-2616
CertificateType	4
CertificateEffectiveDate	12/12/2022
CertificateExpirationDate	12/11/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024