10D2180348 CLIA NUMBER - WAL-MART STORE EAST, LP

Laboratory Demographics

  • CLIA Code: 10D2180348
  • Facility Name: WAL-MART STORE EAST, LP
  • Facility Address: 6294 FOREST HILL BLVD
    GREEN ACRES, FL
    ZIP 33415
  • Facility Phone: 561 966-3106
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KAMLESH CHRISTIAN
  • NPI Number: 1225055601
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2180348
LAB Type Pharmacy
Facility Name WAL-MART STORE EAST, LP
Street 6294 FOREST HILL BLVD
City GREEN ACRES
State FL
ZIP 33415
Phone 561 966-3106
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2024
Certificate Expiration Date 3/11/2026
Facility Type Pharmacy
Lab Director KAMLESH CHRISTIAN

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