01D2159096 CLIA NUMBER - WALMART PHARMACY 10-2690

Laboratory Demographics

  • CLIA Code: 01D2159096
  • Facility Name: WALMART PHARMACY 10-2690
  • Facility Address: 8650 MADISON BLVD
    MADISON, AL
    ZIP 35758
  • Facility Phone: 256 461-7403
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUHYUN C. KIM
  • NPI Number: 1184714792
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 01D2159096
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2690
Street 8650 MADISON BLVD
City MADISON
State AL
ZIP 35758
Phone 256 461-7403
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 SUHYUN C. KIM

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