11D2176223 CLIA NUMBER - WALMART PHARMACY 10-6998

Laboratory Demographics

  • CLIA Code: 11D2176223
  • Facility Name: WALMART PHARMACY 10-6998
  • Facility Address: 844 CLEVELAND AVENUE
    EAST POINT, GA
    ZIP 30344
  • Facility Phone: 404 460-6160
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANDRE C. HARVEY
  • NPI Number: 1518373927
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2176223
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-6998
Street 844 CLEVELAND AVENUE
City EAST POINT
State GA
ZIP 30344
Phone 404 460-6160
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 ANDRE C. HARVEY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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