10D2189485 CLIA NUMBER - WAL-MART STORES EAST LP

Laboratory Demographics

  • CLIA Code: 10D2189485
  • Facility Name: WAL-MART STORES EAST LP
  • Facility Address: 936 NAVARRE PKWY
    NAVARRE, FL
    ZIP 32566
  • Facility Phone: 850 939-3717
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ZACHARY GAVIN
  • NPI Number: 1669537627
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2189485
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST LP
Street 936 NAVARRE PKWY
City NAVARRE
State FL
ZIP 32566
Phone 850 939-3717
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2024
Certificate Expiration Date 7/30/2026
Facility Type Pharmacy
Lab Director ZACHARY GAVIN

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