10D2190867 CLIA NUMBER - WAL-MART STORES EAST LP

Laboratory Demographics

  • CLIA Code: 10D2190867
  • Facility Name: WAL-MART STORES EAST LP
  • Facility Address: 7818 COLONIAL WEST DRIVE
    ORLANDO, FL
    ZIP 32818
  • Facility Phone: 407 522-5107
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: FARHAN GUARD
  • NPI Number: 1356540140
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2190867
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST LP
Street 7818 COLONIAL WEST DRIVE
City ORLANDO
State FL
ZIP 32818
Phone 407 522-5107
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2024
Certificate Expiration Date 8/19/2026
Facility Type Pharmacy
Lab Director FARHAN GUARD

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