11D2176887 CLIA NUMBER - WALMART PHARMACY 10-4472

Laboratory Demographics

  • CLIA Code: 11D2176887
  • Facility Name: WALMART PHARMACY 10-4472
  • Facility Address: 8424 MALL PARKWAY
    LITHONIA, GA
    ZIP 30038
  • Facility Phone: (770) 225-0394
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AKUDO ESEKHEIGBE
  • NPI Number: 1841217163
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2176887
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4472
Street 8424 MALL PARKWAY
City LITHONIA
State GA
ZIP 30038
Phone 7702250394
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/30/2025
Certificate Expiration Date 12/29/2027
Facility Type Pharmacy
Lab Director AKUDO ESEKHEIGBE

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This page was last updated on: 5/18/2026