11D2176176 CLIA NUMBER - WALMART PHARMACY 10-1578

Laboratory Demographics

  • CLIA Code: 11D2176176
  • Facility Name: WALMART PHARMACY 10-1578
  • Facility Address: 970 MANSELL ROAD
    ALPHARETTA, GA
    ZIP 30076
  • Facility Phone: 770 641-0021
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SAMUEL MURAGURI
  • NPI Number: 1831116151
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2176176
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1578
Street 970 MANSELL ROAD
City ALPHARETTA
State GA
ZIP 30076
Phone 770 641-0021
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2023
Certificate Expiration Date 12/9/2025
Facility Type Pharmacy
Lab Director SAMUEL MURAGURI

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