11D2175206 CLIA NUMBER - WALMART PHARMACY 10-2733

Laboratory Demographics

  • CLIA Code: 11D2175206
  • Facility Name: WALMART PHARMACY 10-2733
  • Facility Address: 1009 SAINT PATRICKS DRIVE
    PERRY, GA
    ZIP 31069
  • Facility Phone: 478 987-2323
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEPHANIE E. MEEKS
  • NPI Number: 1548287873
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2175206
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2733
Street 1009 SAINT PATRICKS DRIVE
City PERRY
State GA
ZIP 31069
Phone 478 987-2323
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2023
Certificate Expiration Date 11/17/2025
Facility Type Pharmacy
Lab Director STEPHANIE E. MEEKS

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