10D2201292 CLIA NUMBER - WAL-MART STORES EAST LP

Laboratory Demographics

  • CLIA Code: 10D2201292
  • Facility Name: WAL-MART STORES EAST LP
  • Facility Address: 8990 TURKEY LAKE RD
    ORLANDO, FL
    ZIP 32819
  • Facility Phone: 407 351-2191
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BILAL SIDDIQI
  • NPI Number: 1811106750
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2201292
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST LP
Street 8990 TURKEY LAKE RD
City ORLANDO
State FL
ZIP 32819
Phone 407 351-2191
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2024
Certificate Expiration Date 11/18/2026
Facility Type Pharmacy
Lab Director BILAL SIDDIQI

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