10D2180016 CLIA NUMBER - WAL-MART STORE EAST, LP

Laboratory Demographics

  • CLIA Code: 10D2180016
  • Facility Name: WAL-MART STORE EAST, LP
  • Facility Address: 15885 SW 88TH ST
    KENDALL, FL
    ZIP 33196
  • Facility Phone: (305) 388-1746
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KHEMRAJ DOOBAY
  • NPI Number: 1942227327
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2180016
LAB Type Pharmacy
Facility Name WAL-MART STORE EAST, LP
Street 15885 SW 88TH ST
City KENDALL
State FL
ZIP 33196
Phone 3053881746
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 KHEMRAJ DOOBAY

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