10D2191066 CLIA NUMBER - WAL-MART STORES EAST, LP

Laboratory Demographics

  • CLIA Code: 10D2191066
  • Facility Name: WAL-MART STORES EAST, LP
  • Facility Address: 1005 W SUGARLAND HWY
    CLEWISTON, FL
    ZIP 33440
  • Facility Phone: 863 983-8756
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROSANA MORALES
  • NPI Number: 1851318240
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2191066
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST, LP
Street 1005 W SUGARLAND HWY
City CLEWISTON
State FL
ZIP 33440
Phone 863 983-8756
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 ROSANA MORALES

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