10D2191063 CLIA NUMBER - WAL-MART STORES EAST LP

Laboratory Demographics

  • CLIA Code: 10D2191063
  • Facility Name: WAL-MART STORES EAST LP
  • Facility Address: 4400 FOREST HILL BLVD
    PALM SPRINGS, FL
    ZIP 33406
  • Facility Phone: 561 530-1236
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: FLORABEL SALIGAN
  • NPI Number: 1609220730
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2191063
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST LP
Street 4400 FOREST HILL BLVD
City PALM SPRINGS
State FL
ZIP 33406
Phone 561 530-1236
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 FLORABEL SALIGAN

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