10D2180150 CLIA NUMBER - WAL-MART STORES EAST, LP

Laboratory Demographics

  • CLIA Code: 10D2180150
  • Facility Name: WAL-MART STORES EAST, LP
  • Facility Address: 6931 NW 88TH AVE
    TAMARAC, FL
    ZIP 33321
  • Facility Phone: 954 247-6319
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARGARET MAXWELL
  • NPI Number: 1154725331
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2180150
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST, LP
Street 6931 NW 88TH AVE
City TAMARAC
State FL
ZIP 33321
Phone 954 247-6319
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 MARGARET MAXWELL

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This page was last updated on: 6/4/2025