01D2161950 CLIA NUMBER - WALMART PHARMACY 10-4657

Laboratory Demographics

  • CLIA Code: 01D2161950
  • Facility Name: WALMART PHARMACY 10-4657
  • Facility Address: 6350 COTTAGE HILL RD
    MOBILE, AL
    ZIP 36609
  • Facility Phone: 251 661-1331
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ELAINA LEONARD
  • NPI Number: 1891712105
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2161950
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4657
Street 6350 COTTAGE HILL RD
City MOBILE
State AL
ZIP 36609
Phone 251 661-1331
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/13/2025
Certificate Expiration Date 2/12/2027
Facility Type Pharmacy
Lab Director DR. ELAINA LEONARD

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