10D2216659 CLIA NUMBER - WAL-MART STORES EAST, LP

Laboratory Demographics

  • CLIA Code: 10D2216659
  • Facility Name: WAL-MART STORES EAST, LP
  • Facility Address: 21151 S DIXIE HWY
    MIAMI, FL
    ZIP 33189
  • Facility Phone: 305 964-4207
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAILYN REYES
  • NPI Number: 1720410772
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2216659
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST, LP
Street 21151 S DIXIE HWY
City MIAMI
State FL
ZIP 33189
Phone 305 964-4207
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2025
Certificate Expiration Date 3/14/2027
Facility Type Pharmacy
Lab Director DAILYN REYES

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