01D2160201 CLIA NUMBER - WALMART PHARMACY 10-5744

Laboratory Demographics

  • CLIA Code: 01D2160201
  • Facility Name: WALMART PHARMACY 10-5744
  • Facility Address: 7320 THEODORE DAWES RD
    THEODORE, AL
    ZIP 36582
  • Facility Phone: 251 370-1721
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PHI H. NGUYEN
  • NPI Number: 1093186629
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2160201
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5744
Street 7320 THEODORE DAWES RD
City THEODORE
State AL
ZIP 36582
Phone 251 370-1721
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 PHI H. NGUYEN

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