10D2275923 CLIA NUMBER - WAL-MART STORES EAST LP

Laboratory Demographics

  • CLIA Code: 10D2275923
  • Facility Name: WAL-MART STORES EAST LP
  • Facility Address: 8745 LITTLE ROAD
    NEW PORT RICHEY, FL
    ZIP 34654
  • Facility Phone: (813) 480-7632
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HANNAH H. MCGREW
  • NPI Number: 1679977540
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2275923
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST LP
Street 8745 LITTLE ROAD
City NEW PORT RICHEY
State FL
ZIP 34654
Phone 8134807632
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2025
Certificate Expiration Date 1/30/2027
Facility Type Pharmacy
Lab Director HANNAH H. MCGREW

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This page was last updated on: 5/18/2026