01D2159103 CLIA NUMBER - WALMART PHARMACY 10-6878

Laboratory Demographics

  • CLIA Code: 01D2159103
  • Facility Name: WALMART PHARMACY 10-6878
  • Facility Address: 14595 HWY 231-431 N
    HAZEL GREEN, AL
    ZIP 35750
  • Facility Phone: 256 828-0029
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RANDY JOHNS
  • NPI Number: 1093105546
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2159103
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-6878
Street 14595 HWY 231-431 N
City HAZEL GREEN
State AL
ZIP 35750
Phone 256 828-0029
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 RANDY JOHNS

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