10D2325790 CLIA NUMBER - WAL-MART STORES EAST, LP

Laboratory Demographics

  • CLIA Code: 10D2325790
  • Facility Name: WAL-MART STORES EAST, LP
  • Facility Address: 4329 BERRYHILL RD
    PACE, FL
    ZIP 32571
  • Facility Phone: 479 371-2991
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THOMAS NORTON
  • NPI Number: 1336230614
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 10D2325790
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST, LP
Street 4329 BERRYHILL RD
City PACE
State FL
ZIP 32571
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 6/20/2025
Certificate Expiration Date 6/19/2027
Facility Type Pharmacy
Lab Director THOMAS NORTON

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