01D2160215 CLIA NUMBER - WALMART PHARMACY 10-2713

Laboratory Demographics

  • CLIA Code: 01D2160215
  • Facility Name: WALMART PHARMACY 10-2713
  • Facility Address: 5919 TRUSSVILLE CROSSING PKWY
    BIRMINGHAM, AL
    ZIP 35235
  • Facility Phone: 205 661-1968
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELINE LITWINIEC
  • NPI Number: 1356368666
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2160215
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2713
Street 5919 TRUSSVILLE CROSSING PKWY
City BIRMINGHAM
State AL
ZIP 35235
Phone 205 661-1968
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 JACQUELINE LITWINIEC

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