10D2188801 CLIA NUMBER - WAL-MART STORES EAST LP

Laboratory Demographics

  • CLIA Code: 10D2188801
  • Facility Name: WAL-MART STORES EAST LP
  • Facility Address: 6225 E STATE RD 64
    BRADENTON, FL
    ZIP 34208
  • Facility Phone: 941 708-2812
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANIELLE BADER
  • NPI Number: 1407873706
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2188801
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST LP
Street 6225 E STATE RD 64
City BRADENTON
State FL
ZIP 34208
Phone 941 708-2812
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2024
Certificate Expiration Date 7/21/2026
Facility Type Pharmacy
Lab Director DANIELLE BADER

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