10D2180117 CLIA NUMBER - WAL-MART STORE EAST LP

Laboratory Demographics

  • CLIA Code: 10D2180117
  • Facility Name: WAL-MART STORE EAST LP
  • Facility Address: 2931 S MCCALL RD
    ENGLEWOOD, FL
    ZIP 34224
  • Facility Phone: 941 475-8899
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNIFER DUNATOV
  • NPI Number: 1316964703
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2180117
LAB Type Pharmacy
Facility Name WAL-MART STORE EAST LP
Street 2931 S MCCALL RD
City ENGLEWOOD
State FL
ZIP 34224
Phone 941 475-8899
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 JENNIFER DUNATOV

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