11D2176208 CLIA NUMBER - WALMART PHARMACY 1181

Laboratory Demographics

  • CLIA Code: 11D2176208
  • Facility Name: WALMART PHARMACY 1181
  • Facility Address: 1785 COBB PKWY SOUTH
    MARIETTA, GA
    ZIP 30060
  • Facility Phone: 770 955-6836
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ESHA PATEL
  • NPI Number: 1841217262
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2176208
LAB Type Pharmacy
Facility Name WALMART PHARMACY 1181
Street 1785 COBB PKWY SOUTH
City MARIETTA
State GA
ZIP 30060
Phone 770 955-6836
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 ESHA PATEL

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