01D2163378 CLIA NUMBER - WALMART PHARMACY 10-562

Laboratory Demographics

  • CLIA Code: 01D2163378
  • Facility Name: WALMART PHARMACY 10-562
  • Facility Address: 8551 WHITFIELD AVE
    LEEDS, AL
    ZIP 35094
  • Facility Phone: 205 699-0677
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. JUSTIN J. SMITH
  • NPI Number: 1073530374
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2163378
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-562
Street 8551 WHITFIELD AVE
City LEEDS
State AL
ZIP 35094
Phone 205 699-0677
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 DR. JUSTIN J. SMITH

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