10D2190066 CLIA NUMBER - WAL-MART STORES EAST, LP

Laboratory Demographics

  • CLIA Code: 10D2190066
  • Facility Name: WAL-MART STORES EAST, LP
  • Facility Address: 1499 S DIXIE HWY
    HOMESTEAD, FL
    ZIP 33033
  • Facility Phone: 305 910-2558
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RODOLFO SIGLER
  • NPI Number: 1851848832
  • Taxonomy: 183500000X - Pharmacist

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CLIA Record

Field Name Field Value
CLIA Number 10D2190066
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST, LP
Street 1499 S DIXIE HWY
City HOMESTEAD
State FL
ZIP 33033
Phone 305 910-2558
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2024
Certificate Expiration Date 8/9/2026
Facility Type Pharmacy
Lab Director RODOLFO SIGLER

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