11D2174424 CLIA NUMBER - WALMART PHARMACY 10-5010

Laboratory Demographics

  • CLIA Code: 11D2174424
  • Facility Name: WALMART PHARMACY 10-5010
  • Facility Address: 1030 DELTA BLVD
    ATLANTA, GA
    ZIP 30354
  • Facility Phone: 404 305-8890
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WILLIAM BEGUHN
  • NPI Number: 1265700231
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2174424
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5010
Street 1030 DELTA BLVD
City ATLANTA
State GA
ZIP 30354
Phone 404 305-8890
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2023
Certificate Expiration Date 10/30/2025
Facility Type Pharmacy
Lab Director WILLIAM BEGUHN

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