10D2192627 CLIA NUMBER - WAL-MART STORES EAST, LP

Home > CLIA Lookup > 10D2192627

Laboratory Demographics

CLIA Number: 10D2192627

Facility Name: WAL-MART STORES EAST, LP

Facility Address:
9840 S MILITARY TRL STE G-1
BOYNTON BEACH, FL
ZIP 33436
Get Directions

Facility Phone Number: 561 509-2142

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1437493038

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	10D2192627
LAB Type	Pharmacy
Facility Name	WAL-MART STORES EAST, LP
Street	9840 S MILITARY TRL STE G-1
City	BOYNTON BEACH
State	FL
ZIP	33436
Phone	561 509-2142
CertificateType	4
CertificateEffectiveDate	9/11/2022
CertificateExpirationDate	9/10/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024