10D2253356 CLIA NUMBER - WALMART HEALTH #994

Laboratory Demographics

CLIA Number: 10D2253356

Facility Name: WALMART HEALTH #994

Facility Address:
8901 FL-54
NEW PORT RICHEY, FL
ZIP 34655
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Facility Phone Number: 479 360-3125

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1154348522

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	10D2253356
LAB Type	Community Clinic
Facility Name	WALMART HEALTH #994
Street	8901 FL-54
City	NEW PORT RICHEY
State	FL
ZIP	34655
Phone	479 360-3125
CertificateType	4
CertificateEffectiveDate	2/21/2024
CertificateExpirationDate	2/20/2026
FacilityType	Waiver

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