10D2178693 CLIA NUMBER - WAL-MART STORES EAST, LP

Laboratory Demographics

  • CLIA Code: 10D2178693
  • Facility Name: WAL-MART STORES EAST, LP
  • Facility Address: ATTN WALMART PHARMACY 10-1517 5001 N FEDERAL HWY
    POMPANO BEACH, FL
    ZIP 33064
  • Facility Phone: 954 784-0225
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: REZA RAHEMI
  • NPI Number: 1306863782
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2178693
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST, LP
Street ATTN WALMART PHARMACY 10-1517 5001 N FEDERAL HWY
City POMPANO BEACH
State FL
ZIP 33064
Phone 954 784-0225
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 REZA RAHEMI

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