01D2163364 CLIA NUMBER - WALMART PHARMACY 10-1201

Laboratory Demographics

  • CLIA Code: 01D2163364
  • Facility Name: WALMART PHARMACY 10-1201
  • Facility Address: 890 ODUM RD
    GARDENDALE, AL
    ZIP 35071
  • Facility Phone: 205 631-8154
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRITTANY COTANT
  • NPI Number: 1801813191
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2163364
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1201
Street 890 ODUM RD
City GARDENDALE
State AL
ZIP 35071
Phone 205 631-8154
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 BRITTANY COTANT

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