10D2180149 CLIA NUMBER - WAL-MART STORE EAST, LP

Laboratory Demographics

  • CLIA Code: 10D2180149
  • Facility Name: WAL-MART STORE EAST, LP
  • Facility Address: 1750 US HIGHWAY 1
    VERO BEACH, FL
    ZIP 32960
  • Facility Phone: 772 410-2642
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CONOR WALSH
  • NPI Number: 1881146371
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2180149
LAB Type Pharmacy
Facility Name WAL-MART STORE EAST, LP
Street 1750 US HIGHWAY 1
City VERO BEACH
State FL
ZIP 32960
Phone 772 410-2642
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 CONOR WALSH

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