10D2178921 CLIA NUMBER - WAL-MART STORES EAST, LP

Laboratory Demographics

  • CLIA Code: 10D2178921
  • Facility Name: WAL-MART STORES EAST, LP
  • Facility Address: 4375 BELVEDERE RD ATTN WALMART PHARMACY 10-5301
    WEST PALM BEACH, FL
    ZIP 33406
  • Facility Phone: 561 242-5651
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAURA LACY
  • NPI Number: 1134146434
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2178921
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST, LP
Street 4375 BELVEDERE RD ATTN WALMART PHARMACY 10-5301
City WEST PALM BEACH
State FL
ZIP 33406
Phone 561 242-5651
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/11/2024
Certificate Expiration Date 2/10/2026
Facility Type Pharmacy
Lab Director LAURA LACY

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