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

Laboratory Demographics

  • CLIA Code: 10D2098162
  • Facility Name: WAL-MART STORES EAST, LP
  • Facility Address: 12700 S MILITARY TRL
    BOYNTON BEACH, FL
    ZIP 33436
  • Facility Phone: (561) 808-1095
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MALIKA GORDON
  • NPI Number: 1326447731
  • Taxonomy: 3336C0003X - Pharmacy

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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 5618081095
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2026
Certificate Expiration Date 3/12/2028
Facility Type Pharmacy
Lab Director MALIKA GORDON

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