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01D2160202 CLIA NUMBER - WALMART PHARMACY 10-4673

Laboratory Demographics

CLIA Number: 01D2160202

Facility Name: WALMART PHARMACY 10-4673

Facility Address:
1810 SHUG JORDAN PARKWAY
AUBURN, AL
ZIP 36832
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Facility Phone Number: 334 539-6317

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1912378563

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name Field Value
CLIA Number 01D2160202
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4673
Street 1810 SHUG JORDAN PARKWAY
City AUBURN
State AL
ZIP 36832
Phone 334 539-6317
CertificateType 4
CertificateEffectiveDate 1/7/2023
CertificateExpirationDate 1/6/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024