CLIA lab
CLIA 10D2191056: Wal-Mart Stores East, LP
Macclenny, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2191056 belongs to Wal-Mart Stores East, LP in Macclenny, FL.
Certificate of Waiver, effective August 21, 2026, expires August 20, 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
- August 21, 2026
- Certificate expiration
- August 20, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 21, 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
- 10D2191056
- Lab name
- Wal-Mart Stores East, LP
- Address
- 9218 S State Road 228, Macclenny, FL 32063
- Phone
- (904) 259-3860
- Fax
- (904) 259-3867
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.
Other labs in Macclenny, FL
- Baker Community Health Center IncCertificate of Waiver, Community clinic10D2044368
- Baker County Health DepartmentCertificate for Provider-Performed Microscopy Procedures, Public health laboratory10D0267071
- Baker County Wic OfficeCertificate of Waiver, Other10D2008112
- Baker Rural Health ClinicCertificate of Waiver, Rural health clinic10D2064833
- Borland Groover Clinic PACertificate of Waiver, Physician office10D2335009
- Childrens Medical CenterCertificate of Waiver, Physician office10D0978458
- Confident Heart, LLCCertificate of Waiver, Physician office10D2347692
- Ed Fraser Memorial HospitalCertificate of Compliance, Hospital10D0267074
- First Coast Womens Services IncCertificate of Waiver, Other10D1075935
- Fresenius Medical Care MacclennyCertificate of Waiver, End stage renal disease dialysis facility10D1080726
Related
Questions
What is the CLIA number for Wal-Mart Stores East, LP in Macclenny?
10D2191056, 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 10D2191056 expire?
The CMS file lists August 20, 2028 as the certificate expiration date; the certificate took effect August 21, 2026.