10D2202147 CLIA NUMBER - WALMART STORES EAST LP

Laboratory Demographics

  • CLIA Code: 10D2202147
  • Facility Name: WALMART STORES EAST LP
  • Facility Address: 513 W 23RD ST
    PANAMA CITY, FL
    ZIP 32405
  • Facility Phone: 850 691-0719
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BHAVI PATEL
  • NPI Number: 1578807350
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2202147
LAB Type Pharmacy
Facility Name WALMART STORES EAST LP
Street 513 W 23RD ST
City PANAMA CITY
State FL
ZIP 32405
Phone 850 691-0719
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/25/2024
Certificate Expiration Date 11/24/2026
Facility Type Pharmacy
Lab Director BHAVI PATEL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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