10D2190965 CLIA NUMBER - WAL-MART STORES EAST LP

Laboratory Demographics

  • CLIA Code: 10D2190965
  • Facility Name: WAL-MART STORES EAST LP
  • Facility Address: 13801 LANDSTAR AND ARBOR MEADOWS BLVD
    ORLANDO, FL
    ZIP 32824
  • Facility Phone: 407 723-4446
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALYSSA RODER
  • NPI Number: 1396264305
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2190965
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST LP
Street 13801 LANDSTAR AND ARBOR MEADOWS BLVD
City ORLANDO
State FL
ZIP 32824
Phone 407 723-4446
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2024
Certificate Expiration Date 8/20/2026
Facility Type Pharmacy
Lab Director ALYSSA RODER

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