10D2188912 CLIA NUMBER - WAL-MART STORES EAST, LP

Laboratory Demographics

  • CLIA Code: 10D2188912
  • Facility Name: WAL-MART STORES EAST, LP
  • Facility Address: 9191 W FLAGLER ST
    MIAMI, FL
    ZIP 33174
  • Facility Phone: 786 801-5708
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GLADYS VALDES
  • NPI Number: 1588076418
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2188912
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST, LP
Street 9191 W FLAGLER ST
City MIAMI
State FL
ZIP 33174
Phone 786 801-5708
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/23/2024
Certificate Expiration Date 7/22/2026
Facility Type Pharmacy
Lab Director GLADYS VALDES

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