11D2175858 CLIA NUMBER - WALMART PHARMACY 10-1367

Laboratory Demographics

  • CLIA Code: 11D2175858
  • Facility Name: WALMART PHARMACY 10-1367
  • Facility Address: 2720 WATSON BLVD
    WARNER ROBINS, GA
    ZIP 31093
  • Facility Phone: 478 953-9988
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL ROGERS
  • NPI Number: 1669499984
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2175858
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1367
Street 2720 WATSON BLVD
City WARNER ROBINS
State GA
ZIP 31093
Phone 478 953-9988
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2023
Certificate Expiration Date 12/2/2025
Facility Type Pharmacy
Lab Director MICHAEL ROGERS

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