11D2300233 CLIA NUMBER - WALMART PHARMACY 10-7601

Laboratory Demographics

  • CLIA Code: 11D2300233
  • Facility Name: WALMART PHARMACY 10-7601
  • Facility Address: 835 MARTIN LUTHER KING JR DR NW
    ATLANTA, GA
    ZIP 30314
  • Facility Phone: 404 460-2706
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARGARET TABE
  • NPI Number: 1689918468
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2300233
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-7601
Street 835 MARTIN LUTHER KING JR DR NW
City ATLANTA
State GA
ZIP 30314
Phone 404 460-2706
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2024
Certificate Expiration Date 3/5/2026
Facility Type Pharmacy
Lab Director MARGARET TABE

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