10D2276346 CLIA NUMBER - WAL-MART STORES EAST LP

Laboratory Demographics

  • CLIA Code: 10D2276346
  • Facility Name: WAL-MART STORES EAST LP
  • Facility Address: 35404 US HWY 19 N
    PALM HARBOR, FL
    ZIP 34684
  • Facility Phone: 727 784-8897
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KELLY MARGOLIS
  • NPI Number: 1497772875
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2276346
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST LP
Street 35404 US HWY 19 N
City PALM HARBOR
State FL
ZIP 34684
Phone 727 784-8897
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2025
Certificate Expiration Date 2/6/2027
Facility Type Pharmacy
Lab Director KELLY MARGOLIS

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