10D2188613 CLIA NUMBER - WAL-MART STORES EAST, LP

Laboratory Demographics

  • CLIA Code: 10D2188613
  • Facility Name: WAL-MART STORES EAST, LP
  • Facility Address: 4770 COLONIAL BLVD
    FORT MYERS, FL
    ZIP 33966
  • Facility Phone: 239 274-2927
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BEATRIZ REYES
  • NPI Number: 1265451249
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2188613
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST, LP
Street 4770 COLONIAL BLVD
City FORT MYERS
State FL
ZIP 33966
Phone 239 274-2927
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 BEATRIZ REYES

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