01D2163380 CLIA NUMBER - WALMART PHARMACY 10-1711

Laboratory Demographics

  • CLIA Code: 01D2163380
  • Facility Name: WALMART PHARMACY 10-1711
  • Facility Address: 1600 MONTCLAIR ROAD
    BIRMINGHAM, AL
    ZIP 35210
  • Facility Phone: 205 951-0355
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ASHLEY SMTH
  • NPI Number: 1538186838
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2163380
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1711
Street 1600 MONTCLAIR ROAD
City BIRMINGHAM
State AL
ZIP 35210
Phone 205 951-0355
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. ASHLEY SMTH

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