10D2178718 CLIA NUMBER - WAL-MART STORES EAST LP

Laboratory Demographics

  • CLIA Code: 10D2178718
  • Facility Name: WAL-MART STORES EAST LP
  • Facility Address: 23106 US HWY 19 N ATTN WALMART PHARMACY 10-2081
    CLEARWATER, FL
    ZIP 33765
  • Facility Phone: 727 724-3403
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER LANT
  • NPI Number: 1750765806
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 10D2178718
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST LP
Street 23106 US HWY 19 N ATTN WALMART PHARMACY 10-2081
City CLEARWATER
State FL
ZIP 33765
Phone 727 724-3403
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2024
Certificate Expiration Date 2/6/2026
Facility Type Pharmacy
Lab Director CHRISTOPHER LANT

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