10D2275275 CLIA NUMBER - WAL-MART STORES EAST, LP

Laboratory Demographics

  • CLIA Code: 10D2275275
  • Facility Name: WAL-MART STORES EAST, LP
  • Facility Address: 3653 S ORLANDO DR
    SANFORD, FL
    ZIP 32773
  • Facility Phone: 724 413-3056
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMIE CELENTO
  • NPI Number: 1962429175
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2275275
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST, LP
Street 3653 S ORLANDO DR
City SANFORD
State FL
ZIP 32773
Phone 724 413-3056
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 JAMIE CELENTO

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