01D2159074 CLIA NUMBER - WALMART PHARMACY 10-433

Laboratory Demographics

  • CLIA Code: 01D2159074
  • Facility Name: WALMART PHARMACY 10-433
  • Facility Address: 2200 SPARKMAN DR NW
    HUNTSVILLE, AL
    ZIP 35810
  • Facility Phone: 256 852-1323
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CAROL PATRICIA MAY
  • NPI Number: 1710904016
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2159074
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-433
Street 2200 SPARKMAN DR NW
City HUNTSVILLE
State AL
ZIP 35810
Phone 256 852-1323
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 CAROL PATRICIA MAY

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