11D2176681 CLIA NUMBER - WALMART PHARMACY 10-3118

Laboratory Demographics

  • CLIA Code: 11D2176681
  • Facility Name: WALMART PHARMACY 10-3118
  • Facility Address: 2525 N DECATUR ROAD
    DECATUR, GA
    ZIP 30033
  • Facility Phone: 404 464-4475
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WILLIAM HILL
  • NPI Number: 1912375809
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2176681
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3118
Street 2525 N DECATUR ROAD
City DECATUR
State GA
ZIP 30033
Phone 404 464-4475
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2023
Certificate Expiration Date 12/19/2025
Facility Type Pharmacy
Lab Director WILLIAM HILL

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