10D2180148 CLIA NUMBER - WAL-MART STORES EAST, LP

Laboratory Demographics

  • CLIA Code: 10D2180148
  • Facility Name: WAL-MART STORES EAST, LP
  • Facility Address: 1101 S MILITARY TRAIL
    DEERFIELD BEACH, FL
    ZIP 33442
  • Facility Phone: 954 281-3130
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMI NGUYEN
  • NPI Number: 1285975441
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2180148
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST, LP
Street 1101 S MILITARY TRAIL
City DEERFIELD BEACH
State FL
ZIP 33442
Phone 954 281-3130
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/9/2024
Certificate Expiration Date 3/8/2026
Facility Type Pharmacy
Lab Director AMI NGUYEN

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