10D2098164 CLIA NUMBER - WAL-MART STORES EAST LP

Laboratory Demographics

  • CLIA Code: 10D2098164
  • Facility Name: WAL-MART STORES EAST LP
  • Facility Address: 1720 E HILLSBOROUGH AVE
    TAMPA, FL
    ZIP 33610
  • Facility Phone: 813 675-3697
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHELSEA NUNNO
  • NPI Number: 1932592243
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2098164
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST LP
Street 1720 E HILLSBOROUGH AVE
City TAMPA
State FL
ZIP 33610
Phone 813 675-3697
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2025
Certificate Expiration Date 1/11/2027
Facility Type Pharmacy
Lab Director CHELSEA NUNNO

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