01D2163364 CLIA NUMBER - WALMART PHARMACY 10-1201

Laboratory Demographics

CLIA Number: 01D2163364

Facility Name: WALMART PHARMACY 10-1201

Facility Address:
890 ODUM RD
GARDENDALE, AL
ZIP 35071
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Facility Phone Number: 205 631-8154

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1801813191

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

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
CertificateType	4
CertificateEffectiveDate	3/13/2023
CertificateExpirationDate	3/12/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024