10D2180154 CLIA NUMBER - WAL-MART STORE EAST, LP

Laboratory Demographics

  • CLIA Code: 10D2180154
  • Facility Name: WAL-MART STORE EAST, LP
  • Facility Address: 12550 S ORANGE BLOSSOM TRL
    ORLANDO, FL
    ZIP 32837
  • Facility Phone: 407 541-1270
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LARREB SHAKIL
  • NPI Number: 1790064780
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2180154
LAB Type Pharmacy
Facility Name WAL-MART STORE EAST, LP
Street 12550 S ORANGE BLOSSOM TRL
City ORLANDO
State FL
ZIP 32837
Phone 407 541-1270
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 LARREB SHAKIL

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