10D2237687 CLIA NUMBER - WALMART STORES EAST, LP ATTN WALMART PHARMACY 10-6397

Laboratory Demographics

  • CLIA Code: 10D2237687
  • Facility Name: WALMART STORES EAST, LP ATTN WALMART PHARMACY 10-6397
  • Facility Address: 15601 SW 127TH AVE
    MIAMI, FL
    ZIP 33177
  • Facility Phone: 305 964-3858
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALICIA TALANCON
  • NPI Number: 1659041945
  • Taxonomy: 156FX1800X - Technician/Technologist

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CLIA Record

Field Name Field Value
CLIA Number 10D2237687
LAB Type Pharmacy
Facility Name WALMART STORES EAST, LP ATTN WALMART PHARMACY 10-6397
Street 15601 SW 127TH AVE
City MIAMI
State FL
ZIP 33177
Phone 305 964-3858
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2025
Certificate Expiration Date 9/27/2027
Facility Type Pharmacy
Lab Director ALICIA TALANCON

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