10D2275315 CLIA NUMBER - WAL-MART STORES EAST, LP

Laboratory Demographics

  • CLIA Code: 10D2275315
  • Facility Name: WAL-MART STORES EAST, LP
  • Facility Address: 1505 COUNTY ROAD 220
    ORANGE PARK, FL
    ZIP 32003
  • Facility Phone: 904 278-5988
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARGARET MARANGI
  • NPI Number: 1033136437
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2275315
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST, LP
Street 1505 COUNTY ROAD 220
City ORANGE PARK
State FL
ZIP 32003
Phone 904 278-5988
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/19/2025
Certificate Expiration Date 1/18/2027
Facility Type Pharmacy
Lab Director MARGARET MARANGI

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