11D2176974 CLIA NUMBER - WALMART PHARMACY 10-3485

Laboratory Demographics

  • CLIA Code: 11D2176974
  • Facility Name: WALMART PHARMACY 10-3485
  • Facility Address: 2257 HIGHWAY 515
    BLAIRSVILLE, GA
    ZIP 30512
  • Facility Phone: 706 835-2833
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNIFER H. STOWE
  • NPI Number: 1649407552
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2176974
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3485
Street 2257 HIGHWAY 515
City BLAIRSVILLE
State GA
ZIP 30512
Phone 706 835-2833
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/31/2023
Certificate Expiration Date 12/30/2025
Facility Type Pharmacy
Lab Director JENNIFER H. STOWE

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