10D2178508 CLIA NUMBER - WALMART STORES EAST LP

Laboratory Demographics

  • CLIA Code: 10D2178508
  • Facility Name: WALMART STORES EAST LP
  • Facility Address: 7075 COLLINS RD ATTENTION WALMART PHARMACY 10-6978
    JACKSONVILLE, FL
    ZIP 32244
  • Facility Phone: 904 365-2552
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALLISON DOWNING
  • NPI Number: 1992168470
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2178508
LAB Type Pharmacy
Facility Name WALMART STORES EAST LP
Street 7075 COLLINS RD ATTENTION WALMART PHARMACY 10-6978
City JACKSONVILLE
State FL
ZIP 32244
Phone 904 365-2552
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2024
Certificate Expiration Date 2/3/2026
Facility Type Pharmacy
Lab Director ALLISON DOWNING

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