01D2160198 CLIA NUMBER - WALMART PHARMACY 10-4188

Laboratory Demographics

  • CLIA Code: 01D2160198
  • Facility Name: WALMART PHARMACY 10-4188
  • Facility Address: 1410 FLORENCE BLVD
    FLORENCE, AL
    ZIP 35630
  • Facility Phone: 256 712-6198
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. WILLIAM K. YATES
  • NPI Number: 1750623054
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 01D2160198
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4188
Street 1410 FLORENCE BLVD
City FLORENCE
State AL
ZIP 35630
Phone 256 712-6198
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2025
Certificate Expiration Date 1/6/2027
Facility Type Pharmacy
Lab Director MR. WILLIAM K. YATES

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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