31D2116088 CLIA NUMBER - WAL-MART STORES EAST, LP DBA WALMART PHARMACY 10-2040

Laboratory Demographics

  • CLIA Code: 31D2116088
  • Facility Name: WAL-MART STORES EAST, LP DBA WALMART PHARMACY 10-2040
  • Facility Address: 2106 MOUNT HOLLY ROAD
    BURLINGTON, NJ
    ZIP 08016
  • Facility Phone: (479) 258-6734
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOELLE CAIRO
  • NPI Number: 1013098417
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 31D2116088
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST, LP DBA WALMART PHARMACY 10-2040
Street 2106 MOUNT HOLLY ROAD
City BURLINGTON
State NJ
ZIP 08016
Phone 4792586734
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/19/2024
Certificate Expiration Date 7/18/2026
Facility Type Pharmacy
Lab Director JOELLE CAIRO

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