CLIA lab

CLIA 01D2160200: Walmart Pharmacy 10-5769

Dothan, AL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 01D2160200 belongs to Walmart Pharmacy 10-5769 in Dothan, AL.

Certificate of Waiver, effective January 7, 2025, expires January 6, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
January 7, 2025
Certificate expiration
January 6, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 7, 2019
Facility type
Pharmacy
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
01D2160200
Lab name
Walmart Pharmacy 10-5769
Address
3871 West Main Street, Dothan, AL 36305
Phone
(334) 547-6507
Fax
(334) 547-6506

Annual test volume the lab reported

Waived tests
5,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Walmart Pharmacy 10-5769 in Dothan?

01D2160200, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walmart Pharmacy 10-5769 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 01D2160200 expire?

The CMS file lists January 6, 2027 as the certificate expiration date; the certificate took effect January 7, 2025.

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