10D2098358 CLIA NUMBER - WAL-MART STORES EAST LP

Laboratory Demographics

  • CLIA Code: 10D2098358
  • Facility Name: WAL-MART STORES EAST LP
  • Facility Address: 3400 EAST LAKE RD
    PALM HARBOR, FL
    ZIP 34685
  • Facility Phone: 727 431-1419
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHELLE CLARK
  • NPI Number: 1245619238
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2098358
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST LP
Street 3400 EAST LAKE RD
City PALM HARBOR
State FL
ZIP 34685
Phone 727 431-1419
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2024
Certificate Expiration Date 8/11/2026
Facility Type Pharmacy
Lab Director MICHELLE CLARK

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This page was last updated on: 9/29/2025