10D2190814 CLIA NUMBER - WAL-MART STORES EAST LP

Laboratory Demographics

  • CLIA Code: 10D2190814
  • Facility Name: WAL-MART STORES EAST LP
  • Facility Address: 28500 STATE RD 54
    WESLEY CHAPEL, FL
    ZIP 33543
  • Facility Phone: 813 262-6844
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HITEXA PATEL
  • NPI Number: 1801206727
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2190814
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST LP
Street 28500 STATE RD 54
City WESLEY CHAPEL
State FL
ZIP 33543
Phone 813 262-6844
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2024
Certificate Expiration Date 8/18/2026
Facility Type Pharmacy
Lab Director HITEXA PATEL

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