01D2159189 CLIA NUMBER - WALMART PHARMACY 10-4333

Laboratory Demographics

  • CLIA Code: 01D2159189
  • Facility Name: WALMART PHARMACY 10-4333
  • Facility Address: 10040 COUNTY ROAD 48
    FAIRHOPE, AL
    ZIP 36532
  • Facility Phone: 251 990-9907
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KELSEY ANDREOLI
  • NPI Number: 1346441888
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2159189
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4333
Street 10040 COUNTY ROAD 48
City FAIRHOPE
State AL
ZIP 36532
Phone 251 990-9907
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 KELSEY ANDREOLI

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