10D2192535 CLIA NUMBER - WAL-MART STORES EAST LP

Laboratory Demographics

  • CLIA Code: 10D2192535
  • Facility Name: WAL-MART STORES EAST LP
  • Facility Address: 1700 S ORG BLSMTRAIL
    APOPKA, FL
    ZIP 32703
  • Facility Phone: 407 889-7707
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SARAH MULROONEY
  • NPI Number: 1851319701
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2192535
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST LP
Street 1700 S ORG BLSMTRAIL
City APOPKA
State FL
ZIP 32703
Phone 407 889-7707
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2024
Certificate Expiration Date 9/10/2026
Facility Type Pharmacy
Lab Director SARAH MULROONEY

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