CLIA lab
CLIA 10D2191138: Wal-Mart Stores East, LP
St Augustine, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2191138 belongs to Wal-Mart Stores East, LP in St Augustine, FL.
Certificate of Waiver, effective August 24, 2026, expires August 23, 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 24, 2026
- Certificate expiration
- August 23, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 24, 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
- 10D2191138
- Lab name
- Wal-Mart Stores East, LP
- Address
- 2355 US Highway 1 S, St Augustine, FL 32086
- Phone
- (904) 794-4134
- Fax
- (904) 794-1134
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 St Augustine, FL
- 904 Health IncCertificate of Waiver, Community clinic10D2315231
- Ackerman Cancer Center, Padba Akerman UrologyCertificate of Waiver, Physician office10D2294760
- Advanced Dermatology and Cosmetic SurgeryCertificate of Compliance, Physician office10D0966089
- Adventhealth LabCertificate of Waiver, Hospital10D2344390
- Altitude Health Corp I LLCCertificate of Waiver, Physician office10D2347731
- Bio-Medical Applications of Florida IncCertificate of Waiver, End stage renal disease dialysis facility10D2124906
- Bravery Home HealthcareCertificate of Waiver, Home health agency10D2315333
- Center for Health & Sports Medicine, LLCCertificate of Waiver, Physician office10D2258771
- DRS Baker & Gilmour MD PACertificate of Waiver, Physician office10D1091486
- Family Medical Care of ST Augustine PACertificate of Waiver, Physician office10D2010917
Related
Questions
What is the CLIA number for Wal-Mart Stores East, LP in St Augustine?
10D2191138, 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 10D2191138 expire?
The CMS file lists August 23, 2028 as the certificate expiration date; the certificate took effect August 24, 2026.