11D2176683 CLIA NUMBER - WALMART PHARMACY 10-0937

Laboratory Demographics

  • CLIA Code: 11D2176683
  • Facility Name: WALMART PHARMACY 10-0937
  • Facility Address: 2795 CHASTAIN MEADOWS PARKWAY
    MARIETTA, GA
    ZIP 30066
  • Facility Phone: 770 427-2480
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BAO M. DOAN
  • NPI Number: 1912924242
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2176683
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0937
Street 2795 CHASTAIN MEADOWS PARKWAY
City MARIETTA
State GA
ZIP 30066
Phone 770 427-2480
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 BAO M. DOAN

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