10D2191376 CLIA NUMBER - WAL-MART STORES EAST LP

Laboratory Demographics

  • CLIA Code: 10D2191376
  • Facility Name: WAL-MART STORES EAST LP
  • Facility Address: 2171 GULF TO BAY BLVD - BLDG 10
    CLEARWATER, FL
    ZIP 33765
  • Facility Phone: 727 431-5904
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CATHERINE CANAPE
  • NPI Number: 1447689476
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2191376
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST LP
Street 2171 GULF TO BAY BLVD - BLDG 10
City CLEARWATER
State FL
ZIP 33765
Phone 727 431-5904
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 CATHERINE CANAPE

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