10D2188599 CLIA NUMBER - WAL-MART STORES EAST, LP

Laboratory Demographics

  • CLIA Code: 10D2188599
  • Facility Name: WAL-MART STORES EAST, LP
  • Facility Address: 11225 TAMIAMI TRL N
    NAPLES, FL
    ZIP 34110
  • Facility Phone: 239 591-3727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: FELIX A. AVILES
  • NPI Number: 1225055619
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2188599
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST, LP
Street 11225 TAMIAMI TRL N
City NAPLES
State FL
ZIP 34110
Phone 239 591-3727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2024
Certificate Expiration Date 7/19/2026
Facility Type Pharmacy
Lab Director FELIX A. AVILES

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