11D2175049 CLIA NUMBER - WALMART PHARMACY 10-2475

Laboratory Demographics

  • CLIA Code: 11D2175049
  • Facility Name: WALMART PHARMACY 10-2475
  • Facility Address: 1436 DOGWOOD DRIVE SE
    CONYERS, GA
    ZIP 30013
  • Facility Phone: (770) 860-8806
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ABIGAIL T. WILSON

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CLIA Record

Field Name Field Value
CLIA Number 11D2175049
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2475
Street 1436 DOGWOOD DRIVE SE
City CONYERS
State GA
ZIP 30013
Phone 7708608806
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2025
Certificate Expiration Date 11/13/2027
Facility Type Pharmacy
Lab Director ABIGAIL T. WILSON

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