01D2171548 CLIA NUMBER - WALMART PHARMACY 10-661

Laboratory Demographics

  • CLIA Code: 01D2171548
  • Facility Name: WALMART PHARMACY 10-661
  • Facility Address: 1011 US HIGHWAY 72 E
    ATHENS, AL
    ZIP 35611
  • Facility Phone: 256 233-3568
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. TREVOR REYNOLDS
  • NPI Number: 1992722284
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/4/2025
Certificate Expiration Date 9/3/2027
Facility Type Pharmacy
Lab Director DR. TREVOR REYNOLDS

Download Record

Download this CLIA record record in Text format: Export

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

Download this CLIA record record in XML format: Export

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