11D2175269 CLIA NUMBER - WALMART PHARMACY 10-843

Laboratory Demographics

  • CLIA Code: 11D2175269
  • Facility Name: WALMART PHARMACY 10-843
  • Facility Address: 165 US HIGHWAY 19 N
    CAMILLA, GA
    ZIP 31730
  • Facility Phone: (229) 336-0922
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANNILYNE M. PHILLIPS

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CLIA Record

Field Name Field Value
CLIA Number 11D2175269
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-843
Street 165 US HIGHWAY 19 N
City CAMILLA
State GA
ZIP 31730
Phone 2293360922
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2025
Certificate Expiration Date 11/18/2027
Facility Type Pharmacy
Lab Director ANNILYNE M. PHILLIPS

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