10D2180060 CLIA NUMBER - WAL-MART STORE EAST, LP

Laboratory Demographics

  • CLIA Code: 10D2180060
  • Facility Name: WAL-MART STORE EAST, LP
  • Facility Address: 10270 FRONT BEACH RD
    PANAMA CITY BEACH, FL
    ZIP 32407
  • Facility Phone: 850 235-1748
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAMIEN PEIXOTO
  • NPI Number: 1407873615
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2180060
LAB Type Pharmacy
Facility Name WAL-MART STORE EAST, LP
Street 10270 FRONT BEACH RD
City PANAMA CITY BEACH
State FL
ZIP 32407
Phone 850 235-1748
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2024
Certificate Expiration Date 3/4/2026
Facility Type Pharmacy
Lab Director DAMIEN PEIXOTO

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