11D2175300 CLIA NUMBER - WALMART PHARMACY 10-756

Laboratory Demographics

  • CLIA Code: 11D2175300
  • Facility Name: WALMART PHARMACY 10-756
  • Facility Address: 13427 HIGHWAY 27
    TRION, GA
    ZIP 30753
  • Facility Phone: 706 734-2840
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VANESSA WRIGHT
  • NPI Number: 1013934348
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2175300
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-756
Street 13427 HIGHWAY 27
City TRION
State GA
ZIP 30753
Phone 706 734-2840
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 VANESSA WRIGHT

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