10D2190683 CLIA NUMBER - WAL-MART STORES EAST, LP

Laboratory Demographics

  • CLIA Code: 10D2190683
  • Facility Name: WAL-MART STORES EAST, LP
  • Facility Address: 3221 N MONROE ST
    TALLAHASSEE, FL
    ZIP 32303
  • Facility Phone: 850 562-2829
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NANCY BILAL
  • NPI Number: 1598903866
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2190683
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST, LP
Street 3221 N MONROE ST
City TALLAHASSEE
State FL
ZIP 32303
Phone 850 562-2829
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2024
Certificate Expiration Date 8/17/2026
Facility Type Pharmacy
Lab Director NANCY BILAL

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