11D2174698 CLIA NUMBER - WALMART PHARMACY 10-3403

Laboratory Demographics

  • CLIA Code: 11D2174698
  • Facility Name: WALMART PHARMACY 10-3403
  • Facility Address: 3615 MARIETTA HIGHWAY
    DALLAS, GA
    ZIP 30157
  • Facility Phone: (770) 445-9096
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HARSHADBHAI V. PATEL

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CLIA Record

Field Name Field Value
CLIA Number 11D2174698
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3403
Street 3615 MARIETTA HIGHWAY
City DALLAS
State GA
ZIP 30157
Phone 7704459096
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 HARSHADBHAI V. PATEL

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