10D2180397 CLIA NUMBER - WAL-MART STORE EAST LP

Laboratory Demographics

  • CLIA Code: 10D2180397
  • Facility Name: WAL-MART STORE EAST LP
  • Facility Address: 845 PALM BAY RD NE
    WEST MELBOURNE, FL
    ZIP 32904
  • Facility Phone: 321 984-1612
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KAYLEIGH SCHLEEPER
  • NPI Number: 1760409973
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2180397
LAB Type Pharmacy
Facility Name WAL-MART STORE EAST LP
Street 845 PALM BAY RD NE
City WEST MELBOURNE
State FL
ZIP 32904
Phone 321 984-1612
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 KAYLEIGH SCHLEEPER

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