10D2191372 CLIA NUMBER - WAL-MART STORES EAST LP

Laboratory Demographics

  • CLIA Code: 10D2191372
  • Facility Name: WAL-MART STORES EAST LP
  • Facility Address: 13817 WALSINGHAM RD
    LARGO, FL
    ZIP 33774
  • Facility Phone: 727 593-0316
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NICOLAS DONOSO
  • NPI Number: 1467686832
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2191372
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST LP
Street 13817 WALSINGHAM RD
City LARGO
State FL
ZIP 33774
Phone 727 593-0316
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/26/2024
Certificate Expiration Date 8/25/2026
Facility Type Pharmacy
Lab Director NICOLAS DONOSO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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