10D2180015 CLIA NUMBER - WAL-MART STORE EAST, LP

Laboratory Demographics

  • CLIA Code: 10D2180015
  • Facility Name: WAL-MART STORE EAST, LP
  • Facility Address: 4301 S UNIVERSITY DR
    DAVIE, FL
    ZIP 33328
  • Facility Phone: (954) 331-3613
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: YOHANNA MOREJON
  • NPI Number: 1568703247
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2180015
LAB Type Pharmacy
Facility Name WAL-MART STORE EAST, LP
Street 4301 S UNIVERSITY DR
City DAVIE
State FL
ZIP 33328
Phone 9543313613
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2026
Certificate Expiration Date 3/4/2028
Facility Type Pharmacy
Lab Director YOHANNA MOREJON

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