01D2159076 CLIA NUMBER - WALMART PHARMACY 10-712

Laboratory Demographics

  • CLIA Code: 01D2159076
  • Facility Name: WALMART PHARMACY 10-712
  • Facility Address: 24833 JOHN T REID PRKWY
    SCOTTSBORO, AL
    ZIP 35768
  • Facility Phone: 256 574-1803
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NAMITA VAIDYA
  • NPI Number: 1174541593
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 01D2159076
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-712
Street 24833 JOHN T REID PRKWY
City SCOTTSBORO
State AL
ZIP 35768
Phone 256 574-1803
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 NAMITA VAIDYA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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