10D2191070 CLIA NUMBER - WAL-MART STORES EAST, LP

Laboratory Demographics

  • CLIA Code: 10D2191070
  • Facility Name: WAL-MART STORES EAST, LP
  • Facility Address: 2523 LEE BLVD
    LEHIGH ACRES, FL
    ZIP 33971
  • Facility Phone: 239 368-0282
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DONALD SCHMIDT
  • NPI Number: 1689691073
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2191070
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST, LP
Street 2523 LEE BLVD
City LEHIGH ACRES
State FL
ZIP 33971
Phone 239 368-0282
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 DONALD SCHMIDT

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