01D2159081 CLIA NUMBER - WALMART PHARMACY 10-938

Laboratory Demographics

CLIA Number: 01D2159081

Facility Name: WALMART PHARMACY 10-938

Facility Address:
6495 ATLANTA HWY
MONTGOMERY, AL
ZIP 36117
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Facility Phone Number: 334 272-2043

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1548287824

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	01D2159081
LAB Type	Pharmacy
Facility Name	WALMART PHARMACY 10-938
Street	6495 ATLANTA HWY
City	MONTGOMERY
State	AL
ZIP	36117
Phone	334 272-2043
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