10D2191088 CLIA NUMBER - WAL-MART STORES EAST, LP

Laboratory Demographics

  • CLIA Code: 10D2191088
  • Facility Name: WAL-MART STORES EAST, LP
  • Facility Address: 7855 SW HWY 200
    OCALA, FL
    ZIP 34476
  • Facility Phone: 952 512-6627
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SWETA PATEL
  • NPI Number: 1093163297
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2191088
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST, LP
Street 7855 SW HWY 200
City OCALA
State FL
ZIP 34476
Phone 952 512-6627
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2024
Certificate Expiration Date 8/23/2026
Facility Type Pharmacy
Lab Director SWETA PATEL

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