11D2175287 CLIA NUMBER - WALMART PHARMACY 10-669

Laboratory Demographics

  • CLIA Code: 11D2175287
  • Facility Name: WALMART PHARMACY 10-669
  • Facility Address: 2545 E WALNUT AVENUE
    DALTON, GA
    ZIP 30721
  • Facility Phone: 706 278-6555
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HUNTER E. HOBBS
  • NPI Number: 1821015157
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2175287
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-669
Street 2545 E WALNUT AVENUE
City DALTON
State GA
ZIP 30721
Phone 706 278-6555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2023
Certificate Expiration Date 11/18/2025
Facility Type Pharmacy
Lab Director HUNTER E. HOBBS

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