01D2166193 CLIA NUMBER - WALMART PHARMACY #10-662

Laboratory Demographics

  • CLIA Code: 01D2166193
  • Facility Name: WALMART PHARMACY #10-662
  • Facility Address: 2800 SPRING AVE S W
    DECATUR, AL
    ZIP 35603
  • Facility Phone: 256 350-9969
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALICIA DAWN SCHANAFELT
  • NPI Number: 1356368658
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2166193
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-662
Street 2800 SPRING AVE S W
City DECATUR
State AL
ZIP 35603
Phone 256 350-9969
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2025
Certificate Expiration Date 5/13/2027
Facility Type Pharmacy
Lab Director ALICIA DAWN SCHANAFELT

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