11D2174690 CLIA NUMBER - WALMART PHARMACY 10-5482

Laboratory Demographics

  • CLIA Code: 11D2174690
  • Facility Name: WALMART PHARMACY 10-5482
  • Facility Address: 201 WALMART DRIVE
    EATONTON, GA
    ZIP 31024
  • Facility Phone: (706) 485-4536
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AUSTIN HANSEN

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2174690
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5482
Street 201 WALMART DRIVE
City EATONTON
State GA
ZIP 31024
Phone 7064854536
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2025
Certificate Expiration Date 11/5/2027
Facility Type Pharmacy
Lab Director AUSTIN HANSEN

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: 5/18/2026