10D2275191 CLIA NUMBER - WAL-MART STORES EAST LP

Laboratory Demographics

  • CLIA Code: 10D2275191
  • Facility Name: WAL-MART STORES EAST LP
  • Facility Address: 2020 NE PINE ISLAND RD
    CAPE CORAL, FL
    ZIP 33909
  • Facility Phone: 239 800-6067
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MITTAL PATEL
  • NPI Number: 1992153191
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2275191
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST LP
Street 2020 NE PINE ISLAND RD
City CAPE CORAL
State FL
ZIP 33909
Phone 239 800-6067
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2025
Certificate Expiration Date 1/17/2027
Facility Type Pharmacy
Lab Director MITTAL PATEL

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