10D2180167 CLIA NUMBER - WAL-MART STORE EAST, LP

Laboratory Demographics

  • CLIA Code: 10D2180167
  • Facility Name: WAL-MART STORE EAST, LP
  • Facility Address: 600 S ALAFAYA
    ORLANDO, FL
    ZIP 32828
  • Facility Phone: 407 380-0546
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROBINSON GLEVIS
  • NPI Number: 1144247453
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2180167
LAB Type Pharmacy
Facility Name WAL-MART STORE EAST, LP
Street 600 S ALAFAYA
City ORLANDO
State FL
ZIP 32828
Phone 407 380-0546
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 ROBINSON GLEVIS

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