11D2174701 CLIA NUMBER - WALMART PHARMACY 10-3389

Laboratory Demographics

  • CLIA Code: 11D2174701
  • Facility Name: WALMART PHARMACY 10-3389
  • Facility Address: 3435 CENTERVILLE HIGHWAY
    SNELLVILLE, GA
    ZIP 30039
  • Facility Phone: 770 972-3135
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AAKASH PATEL
  • NPI Number: 1376560623
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2174701
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3389
Street 3435 CENTERVILLE HIGHWAY
City SNELLVILLE
State GA
ZIP 30039
Phone 770 972-3135
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2023
Certificate Expiration Date 11/5/2025
Facility Type Pharmacy
Lab Director AAKASH PATEL

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