10D2180153 CLIA NUMBER - WAL-MART STORE EAST, LP

Laboratory Demographics

  • CLIA Code: 10D2180153
  • Facility Name: WAL-MART STORE EAST, LP
  • Facility Address: 200 S STATE ROAD 434
    ALTAMONTE SPRINGS, FL
    ZIP 32714
  • Facility Phone: 407 774-6255
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RUTH ELOPRE
  • NPI Number: 1144247529
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2180153
LAB Type Pharmacy
Facility Name WAL-MART STORE EAST, LP
Street 200 S STATE ROAD 434
City ALTAMONTE SPRINGS
State FL
ZIP 32714
Phone 407 774-6255
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 RUTH ELOPRE

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