01D2159188 CLIA NUMBER - WALMART PHARMACY 10-991

Laboratory Demographics

  • CLIA Code: 01D2159188
  • Facility Name: WALMART PHARMACY 10-991
  • Facility Address: 101 E 165 SERVICES RD S
    MOBILE, AL
    ZIP 36606
  • Facility Phone: 251 471-2771
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VALDEZ POWE
  • NPI Number: 1366469645
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2159188
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-991
Street 101 E 165 SERVICES RD S
City MOBILE
State AL
ZIP 36606
Phone 251 471-2771
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 VALDEZ POWE

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