CLIA lab
CLIA 10D2189415: Wal-Mart Stores East, LP
Middleburg, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2189415 belongs to Wal-Mart Stores East, LP in Middleburg, FL.
Certificate of Waiver, effective July 30, 2026, expires July 29, 2028.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- July 30, 2026
- Certificate expiration
- July 29, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 30, 2020
- Facility type
- Pharmacy
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 10D2189415
- Lab name
- Wal-Mart Stores East, LP
- Address
- 1580 Branan Field Rd, Middleburg, FL 32068
- Phone
- (904) 214-9115
- Fax
- (904) 214-9118
Annual test volume the lab reported
- Waived tests
- 5,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Ascension ST Vincent's Clay CountyCertificate of Accreditation, Hospital10D2064863
- Ascension ST Vincents Clay CountyCertificate of Waiver, Hospital10D2063915
- Ashchi Heart and Vascular CenterCertificate of Waiver, Physician office10D2123622
- Cancer Specialists LLCCertificate of Accreditation, Physician office10D1082129
- Canterfield of Clay CountyCertificate of Waiver, Assisted living facility10D2131691
- Carespot Express HealthcareCertificate of Waiver, Other10D2073231
- Clay County DialysisCertificate of Waiver, End stage renal disease dialysis facility10D2082305
- Coastal Injury Clinic LLCCertificate of Waiver, Physician office10D2221489
- Conviva Medical Center Management LLCCertificate of Waiver, Physician office10D2058671
Related
Questions
What is the CLIA number for Wal-Mart Stores East, LP in Middleburg?
10D2189415, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Wal-Mart Stores East, LP hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D2189415 expire?
The CMS file lists July 29, 2028 as the certificate expiration date; the certificate took effect July 30, 2026.