10D2325637 CLIA NUMBER - WAL-MART STORES EAST, LP

Laboratory Demographics

  • CLIA Code: 10D2325637
  • Facility Name: WAL-MART STORES EAST, LP
  • Facility Address: 6275 US HIGHWAY 90
    MILTON, FL
    ZIP 32570
  • Facility Phone: 479 371-2991
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HUNTER MANNING
  • NPI Number: 1568254183
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2325637
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST, LP
Street 6275 US HIGHWAY 90
City MILTON
State FL
ZIP 32570
Phone 479 371-2991
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2025
Certificate Expiration Date 6/16/2027
Facility Type Pharmacy
Lab Director HUNTER MANNING

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