10D2188623 CLIA NUMBER - WAL-MART STORE EAST LP

Laboratory Demographics

  • CLIA Code: 10D2188623
  • Facility Name: WAL-MART STORE EAST LP
  • Facility Address: 9990 BELVEDERE RD
    WEST PALM BEACH, FL
    ZIP 33411
  • Facility Phone: 561 795-0135
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RITA OJO
  • NPI Number: 1124045505
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2188623
LAB Type Pharmacy
Facility Name WAL-MART STORE EAST LP
Street 9990 BELVEDERE RD
City WEST PALM BEACH
State FL
ZIP 33411
Phone 561 795-0135
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 RITA OJO

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