10D2180288 CLIA NUMBER - WAL-MART STORE EAST LP

Laboratory Demographics

  • CLIA Code: 10D2180288
  • Facility Name: WAL-MART STORE EAST LP
  • Facility Address: 16205 S MILITARY TRL
    DELRAY BEACH, FL
    ZIP 33484
  • Facility Phone: (561) 495-8331
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALLISON KANDERSACK
  • NPI Number: 1215954698
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2180288
LAB Type Pharmacy
Facility Name WAL-MART STORE EAST LP
Street 16205 S MILITARY TRL
City DELRAY BEACH
State FL
ZIP 33484
Phone 5614958331
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/11/2026
Certificate Expiration Date 3/10/2028
Facility Type Pharmacy
Lab Director ALLISON KANDERSACK

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This page was last updated on: 5/18/2026