10D2178745 CLIA NUMBER - WAL-MART STORES EAST LP

Laboratory Demographics

  • CLIA Code: 10D2178745
  • Facility Name: WAL-MART STORES EAST LP
  • Facility Address: 1480 US HWY 17 N ATTN WALMART PHARMACY 10-759
    WAUCHULA, FL
    ZIP 33873
  • Facility Phone: 863 773-5900
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHEILA MCWATERS
  • NPI Number: 1689691990
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2178745
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST LP
Street 1480 US HWY 17 N ATTN WALMART PHARMACY 10-759
City WAUCHULA
State FL
ZIP 33873
Phone 863 773-5900
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 SHEILA MCWATERS

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