10D2180116 CLIA NUMBER - WAL-MART STORE EAST LP

Laboratory Demographics

  • CLIA Code: 10D2180116
  • Facility Name: WAL-MART STORE EAST LP
  • Facility Address: 5810 RANCH LAKE BLVD
    BRADENTON, FL
    ZIP 34202
  • Facility Phone: 941 799-5545
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BELIE GIRMA
  • NPI Number: 1942572037
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2180116
LAB Type Pharmacy
Facility Name WAL-MART STORE EAST LP
Street 5810 RANCH LAKE BLVD
City BRADENTON
State FL
ZIP 34202
Phone 941 799-5545
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 BELIE GIRMA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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