10D2190691 CLIA NUMBER - WAL-MART STORES EAST, LP

Laboratory Demographics

  • CLIA Code: 10D2190691
  • Facility Name: WAL-MART STORES EAST, LP
  • Facility Address: 8011 MERRILL RD WALMART PHARMACY 10-5817
    JACKSONVILLE, FL
    ZIP 32277
  • Facility Phone: 904 380-8950
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CORI GRIER
  • NPI Number: 1386986933
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2190691
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST, LP
Street 8011 MERRILL RD WALMART PHARMACY 10-5817
City JACKSONVILLE
State FL
ZIP 32277
Phone 904 380-8950
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 CORI GRIER

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