01D2159072 CLIA NUMBER - WALMART PHARMACY 10-425

Laboratory Demographics

  • CLIA Code: 01D2159072
  • Facility Name: WALMART PHARMACY 10-425
  • Facility Address: 10675 HIGHWAY 5
    BRENT, AL
    ZIP 35034
  • Facility Phone: 205 926-6553
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HEATH HOGGE
  • NPI Number: 1497773816
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2159072
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-425
Street 10675 HIGHWAY 5
City BRENT
State AL
ZIP 35034
Phone 205 926-6553
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 HEATH HOGGE

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