11D2178614 CLIA NUMBER - WALMART PHARMACY 10-4283

Laboratory Demographics

  • CLIA Code: 11D2178614
  • Facility Name: WALMART PHARMACY 10-4283
  • Facility Address: 2801 AIRPORT THRUWAY
    COLUMBUS, GA
    ZIP 31909
  • Facility Phone: (706) 653-4044
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VICTORIA BUCKNER
  • NPI Number: 1578580890
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2178614
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4283
Street 2801 AIRPORT THRUWAY
City COLUMBUS
State GA
ZIP 31909
Phone 7066534044
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/6/2026
Certificate Expiration Date 2/5/2028
Facility Type Pharmacy
Lab Director VICTORIA BUCKNER

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