10D2192030 CLIA NUMBER - WALMART STORES EAST LP

Laboratory Demographics

  • CLIA Code: 10D2192030
  • Facility Name: WALMART STORES EAST LP
  • Facility Address: 4021 LAGNIAPPE WAY WALMART PHARMACY 104520
    TALLAHASSEE, FL
    ZIP 32317
  • Facility Phone: 850 656-7211
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STACY POE
  • NPI Number: 1174709521
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2192030
LAB Type Pharmacy
Facility Name WALMART STORES EAST LP
Street 4021 LAGNIAPPE WAY WALMART PHARMACY 104520
City TALLAHASSEE
State FL
ZIP 32317
Phone 850 656-7211
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/3/2024
Certificate Expiration Date 9/2/2026
Facility Type Pharmacy
Lab Director STACY POE

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