10D2276393 CLIA NUMBER - WAL-MART STORES EAST LP

Laboratory Demographics

  • CLIA Code: 10D2276393
  • Facility Name: WAL-MART STORES EAST LP
  • Facility Address: 2602 JAMES L REDMAN PKWY WAL-MART PHARMACY #10-547
    PLANT CITY, FL
    ZIP 33566
  • Facility Phone: 813 752-5765
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRIAN DELP
  • NPI Number: 1598782807
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2276393
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST LP
Street 2602 JAMES L REDMAN PKWY WAL-MART PHARMACY #10-547
City PLANT CITY
State FL
ZIP 33566
Phone 813 752-5765
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2025
Certificate Expiration Date 2/7/2027
Facility Type Pharmacy
Lab Director BRIAN DELP

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