10D2188603 CLIA NUMBER - WAL-MART STORES EAST, LP

Laboratory Demographics

  • CLIA Code: 10D2188603
  • Facility Name: WAL-MART STORES EAST, LP
  • Facility Address: 14821 BEN C PRATT 6 MILE CYPRESS PKWY
    FORT MYERS, FL
    ZIP 33912
  • Facility Phone: 239 433-7744
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NINOSHKA RAMOS RODRIGUEZ
  • NPI Number: 1972520344
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2188603
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST, LP
Street 14821 BEN C PRATT 6 MILE CYPRESS PKWY
City FORT MYERS
State FL
ZIP 33912
Phone 239 433-7744
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 NINOSHKA RAMOS RODRIGUEZ

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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