10D2178761 CLIA NUMBER - WAL-MART STORES EAST LP

Laboratory Demographics

  • CLIA Code: 10D2178761
  • Facility Name: WAL-MART STORES EAST LP
  • Facility Address: 2677 ROOSEVELT BLVD ATTN WALMART PHARMACY 10-3372
    CLEARWATER, FL
    ZIP 33760
  • Facility Phone: (727) 431-4914
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: YOUSSEF EBRAHIM
  • NPI Number: 1063841153
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2178761
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST LP
Street 2677 ROOSEVELT BLVD ATTN WALMART PHARMACY 10-3372
City CLEARWATER
State FL
ZIP 33760
Phone 7274314914
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2026
Certificate Expiration Date 2/6/2028
Facility Type Pharmacy
Lab Director YOUSSEF EBRAHIM

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This page was last updated on: 5/18/2026