10D2178690 CLIA NUMBER - WAL-MART STORES EAST, LP

Laboratory Demographics

  • CLIA Code: 10D2178690
  • Facility Name: WAL-MART STORES EAST, LP
  • Facility Address: ATTN WALMART PHARMACY 10-3235 1425 NE 163RD ST
    NORTH MIAMI BEACH, FL
    ZIP 33162
  • Facility Phone: 305 949-5451
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RONALD JOSEPH
  • NPI Number: 1235156548
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2178690
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST, LP
Street ATTN WALMART PHARMACY 10-3235 1425 NE 163RD ST
City NORTH MIAMI BEACH
State FL
ZIP 33162
Phone 305 949-5451
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 RONALD JOSEPH

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