11D2175309 CLIA NUMBER - WALMART PHARMACY 10-606

Laboratory Demographics

  • CLIA Code: 11D2175309
  • Facility Name: WALMART PHARMACY 10-606
  • Facility Address: 4725 US HIGHWAY 80 E
    SAVANNAH, GA
    ZIP 31410
  • Facility Phone: 912 898-8091
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ZACHARY YOUNG
  • NPI Number: 1649297979
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2175309
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-606
Street 4725 US HIGHWAY 80 E
City SAVANNAH
State GA
ZIP 31410
Phone 912 898-8091
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 ZACHARY YOUNG

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