11D2175212 CLIA NUMBER - WALMART PHARMACY 10-2811

Laboratory Demographics

  • CLIA Code: 11D2175212
  • Facility Name: WALMART PHARMACY 10-2811
  • Facility Address: 4375 LEXINGTON ROAD
    ATHENS, GA
    ZIP 30605
  • Facility Phone: 706 355-3090
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSEPH H. LAMB
  • NPI Number: 1740207083
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2175212
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2811
Street 4375 LEXINGTON ROAD
City ATHENS
State GA
ZIP 30605
Phone 706 355-3090
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 JOSEPH H. LAMB

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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