01D2159187 CLIA NUMBER - WALMART PHARMACY 10-904

Laboratory Demographics

  • CLIA Code: 01D2159187
  • Facility Name: WALMART PHARMACY 10-904
  • Facility Address: 2200 S MCKENZIE ST
    FOLEY, AL
    ZIP 36535
  • Facility Phone: 251 943-3320
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. CARRIE RAY
  • NPI Number: 1700803004
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2159187
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-904
Street 2200 S MCKENZIE ST
City FOLEY
State AL
ZIP 36535
Phone 251 943-3320
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2024
Certificate Expiration Date 12/12/2026
Facility Type Pharmacy
Lab Director MS. CARRIE RAY

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