11D2175782 CLIA NUMBER - WALMART PHARMACY 10-4525

Laboratory Demographics

  • CLIA Code: 11D2175782
  • Facility Name: WALMART PHARMACY 10-4525
  • Facility Address: 1422 W OGLETHORPE HIGHWAY, SUITE A
    HINESVILLE, GA
    ZIP 31313
  • Facility Phone: 912 877-9818
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JADE E. MORRIS
  • NPI Number: 1396762704
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2175782
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4525
Street 1422 W OGLETHORPE HIGHWAY, SUITE A
City HINESVILLE
State GA
ZIP 31313
Phone 912 877-9818
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2023
Certificate Expiration Date 12/1/2025
Facility Type Pharmacy
Lab Director JADE E. MORRIS

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