01D2163362 CLIA NUMBER - WALMART PHARMACY 10-5716

Laboratory Demographics

  • CLIA Code: 01D2163362
  • Facility Name: WALMART PHARMACY 10-5716
  • Facility Address: 9020 BAILEY COVE RD SE
    HUNTSVILLE, AL
    ZIP 35802
  • Facility Phone: 256 970-6547
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JONATHAN BYRD
  • NPI Number: 1295105047
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2163362
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5716
Street 9020 BAILEY COVE RD SE
City HUNTSVILLE
State AL
ZIP 35802
Phone 256 970-6547
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2025
Certificate Expiration Date 3/12/2027
Facility Type Pharmacy
Lab Director JONATHAN BYRD

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