10D2190225 CLIA NUMBER - WAL-MART STORES EAST LP

Laboratory Demographics

  • CLIA Code: 10D2190225
  • Facility Name: WAL-MART STORES EAST LP
  • Facility Address: 5555 20TH ST
    VERO BEACH, FL
    ZIP 32966
  • Facility Phone: (772) 778-1202
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THY HUYNH
  • NPI Number: 1033136247
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2190225
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST LP
Street 5555 20TH ST
City VERO BEACH
State FL
ZIP 32966
Phone 7727781202
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2024
Certificate Expiration Date 8/10/2026
Facility Type Pharmacy
Lab Director THY HUYNH

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This page was last updated on: 5/18/2026