10D2224850 CLIA NUMBER - WALMART HEALTH #6978

Laboratory Demographics

CLIA Number: 10D2224850

Facility Name: WALMART HEALTH #6978

Facility Address:
7075 COLLINS RD STE 100
JACKSONVILLE, FL
ZIP 32244
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Facility Phone Number: 479 360-3125

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1174989305

Taxonomy: 332H00000X - Eyewear Supplier
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

CLIA Record

Field Name	Field Value
CLIA Number	10D2224850
LAB Type	Community Clinic
Facility Name	WALMART HEALTH #6978
Street	7075 COLLINS RD STE 100
City	JACKSONVILLE
State	FL
ZIP	32244
Phone	479 360-3125
CertificateType	4
CertificateEffectiveDate	5/17/2023
CertificateExpirationDate	5/16/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024