Healther Providers Data Logo

01D2171548 CLIA NUMBER - WALMART PHARMACY 10-661

Laboratory Demographics

CLIA Number: 01D2171548

Facility Name: WALMART PHARMACY 10-661

Facility Address:
1011 US HIGHWAY 72 E
ATHENS, AL
ZIP 35611
Get Directions

Facility Phone Number: 256 233-3568

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1992722284

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 01D2171548
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-661
Street 1011 US HIGHWAY 72 E
City ATHENS
State AL
ZIP 35611
Phone 256 233-3568
CertificateType 4
CertificateEffectiveDate 9/4/2023
CertificateExpirationDate 9/3/2025
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

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