01D2160200 CLIA NUMBER - WALMART PHARMACY 10-5769

Laboratory Demographics

  • CLIA Code: 01D2160200
  • Facility Name: WALMART PHARMACY 10-5769
  • Facility Address: 3871 WEST MAIN STREET
    DOTHAN, AL
    ZIP 36305
  • Facility Phone: 334 547-6507
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ASHLEY D. FLEENOR
  • NPI Number: 1568833192
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 01D2160200
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5769
Street 3871 WEST MAIN STREET
City DOTHAN
State AL
ZIP 36305
Phone 334 547-6507
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 ASHLEY D. FLEENOR

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