11D2175602 CLIA NUMBER - WALMART PHARMAACY 10-635

Laboratory Demographics

  • CLIA Code: 11D2175602
  • Facility Name: WALMART PHARMAACY 10-635
  • Facility Address: 6000 OGEECHEE ROAD
    SAVANNAH, GA
    ZIP 31419
  • Facility Phone: 912 927-6117
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CAROLINE E. BOWMAN
  • NPI Number: 1740207075
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2175602
LAB Type Pharmacy
Facility Name WALMART PHARMAACY 10-635
Street 6000 OGEECHEE ROAD
City SAVANNAH
State GA
ZIP 31419
Phone 912 927-6117
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/25/2023
Certificate Expiration Date 11/24/2025
Facility Type Pharmacy
Lab Director CAROLINE E. BOWMAN

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