10D2180119 CLIA NUMBER - WAL-MART STORE EAST LP

Laboratory Demographics

  • CLIA Code: 10D2180119
  • Facility Name: WAL-MART STORE EAST LP
  • Facility Address: 2140 BLOOMINGDALE AVENUE
    VALRICO, FL
    ZIP 33596
  • Facility Phone: 813 691-6481
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BINH LE
  • NPI Number: 1689030181
  • Taxonomy: 332H00000X - Eyewear Supplier

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2180119
LAB Type Pharmacy
Facility Name WAL-MART STORE EAST LP
Street 2140 BLOOMINGDALE AVENUE
City VALRICO
State FL
ZIP 33596
Phone 813 691-6481
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2024
Certificate Expiration Date 3/5/2026
Facility Type Pharmacy
Lab Director BINH LE

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