01D2166200 CLIA NUMBER - WALMART PHARMACY 10-5740

Laboratory Demographics

  • CLIA Code: 01D2166200
  • Facility Name: WALMART PHARMACY 10-5740
  • Facility Address: 2570 GOVERNMENT BLVD
    MOBILE, AL
    ZIP 36606
  • Facility Phone: 251 586-6486
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. HERMAINE WILLIAMSON
  • NPI Number: 1730558123
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2166200
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5740
Street 2570 GOVERNMENT BLVD
City MOBILE
State AL
ZIP 36606
Phone 251 586-6486
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 DR. HERMAINE WILLIAMSON

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