10D2216812 CLIA NUMBER - WAL-MART STORES EAST LP

Laboratory Demographics

  • CLIA Code: 10D2216812
  • Facility Name: WAL-MART STORES EAST LP
  • Facility Address: 41232 US HIGHWAY 19 N
    TARPON SPRINGS, FL
    ZIP 34689
  • Facility Phone: 727 940-9289
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KATAYUN SAHAMI
  • NPI Number: 1669733127
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2216812
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST LP
Street 41232 US HIGHWAY 19 N
City TARPON SPRINGS
State FL
ZIP 34689
Phone 727 940-9289
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2025
Certificate Expiration Date 3/15/2027
Facility Type Pharmacy
Lab Director KATAYUN SAHAMI

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