01D2162701 CLIA NUMBER - WALMART PHARMACY 10-4210

Laboratory Demographics

  • CLIA Code: 01D2162701
  • Facility Name: WALMART PHARMACY 10-4210
  • Facility Address: 1300 NORTH UNIVERSITY
    MOBILE, AL
    ZIP 36618
  • Facility Phone: 251 586-6232
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JESSICA E. SMITH
  • NPI Number: 1316341233
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2162701
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4210
Street 1300 NORTH UNIVERSITY
City MOBILE
State AL
ZIP 36618
Phone 251 586-6232
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Pharmacy
Lab Director JESSICA E. SMITH

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