31D2116089 CLIA NUMBER - WAL-MART STORES EAST, LC DBA WAL-MART PHARMACY 10-2871

Laboratory Demographics

  • CLIA Code: 31D2116089
  • Facility Name: WAL-MART STORES EAST, LC DBA WAL-MART PHARMACY 10-2871
  • Facility Address: 2501 ROUTE 130 S
    CINNAMINSON, NJ
    ZIP 08077
  • Facility Phone: (479) 258-6734
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: FATMA KARACA
  • NPI Number: 1245257377
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2116089
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST, LC DBA WAL-MART PHARMACY 10-2871
Street 2501 ROUTE 130 S
City CINNAMINSON
State NJ
ZIP 08077
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 FATMA KARACA

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