10D2180123 CLIA NUMBER - WAL-MART STORE EAST LP

Laboratory Demographics

  • CLIA Code: 10D2180123
  • Facility Name: WAL-MART STORE EAST LP
  • Facility Address: 8001 US HIGHWAY 19 N
    PINELLAS PARK, FL
    ZIP 33781
  • Facility Phone: 727 578-5020
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KELLY HOD
  • NPI Number: 1134146517
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2180123
LAB Type Pharmacy
Facility Name WAL-MART STORE EAST LP
Street 8001 US HIGHWAY 19 N
City PINELLAS PARK
State FL
ZIP 33781
Phone 727 578-5020
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 KELLY HOD

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