10D2275688 CLIA NUMBER - WAL-MART STORES EAST, LP

Laboratory Demographics

  • CLIA Code: 10D2275688
  • Facility Name: WAL-MART STORES EAST, LP
  • Facility Address: 8801 CONROY WINDERMERE RD
    ORLANDO, FL
    ZIP 32835
  • Facility Phone: 407 605-4006
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VINCENT GAGLIO
  • NPI Number: 1891034195
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2275688
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST, LP
Street 8801 CONROY WINDERMERE RD
City ORLANDO
State FL
ZIP 32835
Phone 407 605-4006
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2025
Certificate Expiration Date 1/25/2027
Facility Type Pharmacy
Lab Director VINCENT GAGLIO

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