10D2190842 CLIA NUMBER - WAL-MART STORES EAST LP

Laboratory Demographics

  • CLIA Code: 10D2190842
  • Facility Name: WAL-MART STORES EAST LP
  • Facility Address: 14344 SPRING HILL DR
    SPRING HILL, FL
    ZIP 34609
  • Facility Phone: 352 587-6949
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANGELA RAY
  • NPI Number: 1720457021
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2190842
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST LP
Street 14344 SPRING HILL DR
City SPRING HILL
State FL
ZIP 34609
Phone 352 587-6949
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2024
Certificate Expiration Date 8/18/2026
Facility Type Pharmacy
Lab Director ANGELA RAY

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