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11D2174780 CLIA NUMBER - WALMART PHARMACY 10-4530

Laboratory Demographics

CLIA Number: 11D2174780

Facility Name: WALMART PHARMACY 10-4530

Facility Address:
10530 ABERCORN ST
SAVANNAH, GA
ZIP 31419
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Facility Phone Number: 912 712-7006

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1962873521

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 11D2174780
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4530
Street 10530 ABERCORN ST
City SAVANNAH
State GA
ZIP 31419
Phone 912 712-7006
CertificateType 4
CertificateEffectiveDate 11/7/2023
CertificateExpirationDate 11/6/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024