10D2178684 CLIA NUMBER - WAL-MART STORES EAST LP

Laboratory Demographics

  • CLIA Code: 10D2178684
  • Facility Name: WAL-MART STORES EAST LP
  • Facility Address: 3045 SW PORT ST LUCIE WALMART PHARMACY 10-5704
    PORT SAINT LUCIE, FL
    ZIP 34953
  • Facility Phone: 772 301-6124
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHINY PARSAI
  • NPI Number: 1700335312
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2178684
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST LP
Street 3045 SW PORT ST LUCIE WALMART PHARMACY 10-5704
City PORT SAINT LUCIE
State FL
ZIP 34953
Phone 772 301-6124
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2024
Certificate Expiration Date 2/6/2026
Facility Type Pharmacy
Lab Director SHINY PARSAI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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