01D2159078 CLIA NUMBER - WALMART PHARMACY 10-726

Laboratory Demographics

  • CLIA Code: 01D2159078
  • Facility Name: WALMART PHARMACY 10-726
  • Facility Address: 2643 HIGHWAY 280
    ALEXANDER CITY, AL
    ZIP 35010
  • Facility Phone: 256 234-7172
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. LUCIENEA REESE
  • NPI Number: 1720005010
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2159078
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-726
Street 2643 HIGHWAY 280
City ALEXANDER CITY
State AL
ZIP 35010
Phone 256 234-7172
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 MS. LUCIENEA REESE

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