11D2174073 CLIA NUMBER - WALMART PHARMACY 10-7194

Laboratory Demographics

  • CLIA Code: 11D2174073
  • Facility Name: WALMART PHARMACY 10-7194
  • Facility Address: 351 ALABAMA ROAD
    ADEL, GA
    ZIP 31620
  • Facility Phone: 229 896-9997
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SALA PRESSLEY
  • NPI Number: 1386003689
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2174073
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-7194
Street 351 ALABAMA ROAD
City ADEL
State GA
ZIP 31620
Phone 229 896-9997
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2025
Certificate Expiration Date 10/22/2027
Facility Type Pharmacy
Lab Director SALA PRESSLEY

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