11D2174822 CLIA NUMBER - WALMART PHARMACY 10-3070

Laboratory Demographics

  • CLIA Code: 11D2174822
  • Facility Name: WALMART PHARMACY 10-3070
  • Facility Address: 5025 WINTERS CHAPEL ROAD
    DUNWOODY, GA
    ZIP 30360
  • Facility Phone: 770 280-0323
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PURVI CHUDASAMA
  • NPI Number: 1346688009
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2174822
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3070
Street 5025 WINTERS CHAPEL ROAD
City DUNWOODY
State GA
ZIP 30360
Phone 770 280-0323
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2023
Certificate Expiration Date 11/7/2025
Facility Type Pharmacy
Lab Director PURVI CHUDASAMA

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