10D2191630 CLIA NUMBER - WAL-MART STORES EAST LP

Laboratory Demographics

  • CLIA Code: 10D2191630
  • Facility Name: WAL-MART STORES EAST LP
  • Facility Address: 7500 66TH ST
    PINELLAS PARK, FL
    ZIP 33781
  • Facility Phone: 727 202-3120
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEPHANIE WILLS
  • NPI Number: 1063859296
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2191630
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST LP
Street 7500 66TH ST
City PINELLAS PARK
State FL
ZIP 33781
Phone 727 202-3120
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/31/2024
Certificate Expiration Date 8/30/2026
Facility Type Pharmacy
Lab Director STEPHANIE WILLS

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