11D2174425 CLIA NUMBER - WALMART PHARMACY 10-5267

Laboratory Demographics

  • CLIA Code: 11D2174425
  • Facility Name: WALMART PHARMACY 10-5267
  • Facility Address: 3130 ATLANTA HWY
    ATHENS, GA
    ZIP 30606
  • Facility Phone: (706) 715-6236
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PHILLIP P. ORRELL
  • NPI Number: 1922025246
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2174425
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5267
Street 3130 ATLANTA HWY
City ATHENS
State GA
ZIP 30606
Phone 7067156236
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2025
Certificate Expiration Date 10/30/2027
Facility Type Pharmacy
Lab Director PHILLIP P. ORRELL

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This page was last updated on: 5/18/2026