10D2098162 CLIA NUMBER - WAL-MART STORES EAST, LP

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Laboratory Demographics

CLIA Number: 10D2098162

Facility Name: WAL-MART STORES EAST, LP

Facility Address:
12700 S MILITARY TRL
BOYNTON BEACH, FL
ZIP 33436
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Facility Phone Number: 561 808-1095

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1326447731

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	10D2098162
LAB Type	Pharmacy
Facility Name	WAL-MART STORES EAST, LP
Street	12700 S MILITARY TRL
City	BOYNTON BEACH
State	FL
ZIP	33436
Phone	561 808-1095
CertificateType	4
CertificateEffectiveDate	3/13/2024
CertificateExpirationDate	3/12/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024