10D2190034 CLIA NUMBER - WAL-MART STORES EAST, LP

Laboratory Demographics

  • CLIA Code: 10D2190034
  • Facility Name: WAL-MART STORES EAST, LP
  • Facility Address: 3801 TURTLE CREEK DR
    CORAL SPRINGS, FL
    ZIP 33067
  • Facility Phone: 954 341-4706
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUMMER WILLIAMS
  • NPI Number: 1598782971
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2190034
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST, LP
Street 3801 TURTLE CREEK DR
City CORAL SPRINGS
State FL
ZIP 33067
Phone 954 341-4706
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/9/2024
Certificate Expiration Date 8/8/2026
Facility Type Pharmacy
Lab Director SUMMER WILLIAMS

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