01D2159156 CLIA NUMBER - WALMART PHARMACY 10-1284

Laboratory Demographics

  • CLIA Code: 01D2159156
  • Facility Name: WALMART PHARMACY 10-1284
  • Facility Address: 3700 HWY 280/431 N
    PHENIX CITY, AL
    ZIP 36867
  • Facility Phone: 334 291-1814
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CORDERRA SEAY
  • NPI Number: 1871511394
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2159156
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1284
Street 3700 HWY 280/431 N
City PHENIX CITY
State AL
ZIP 36867
Phone 334 291-1814
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 CORDERRA SEAY

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