10D2276444 CLIA NUMBER - WAL-MART STORES EAST LP

Laboratory Demographics

  • CLIA Code: 10D2276444
  • Facility Name: WAL-MART STORES EAST LP
  • Facility Address: 400 W 49TH ST
    HIALEAH, FL
    ZIP 33012
  • Facility Phone: 305 507-2048
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DALGIS HERRERA
  • NPI Number: 1023388402
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2276444
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST LP
Street 400 W 49TH ST
City HIALEAH
State FL
ZIP 33012
Phone 305 507-2048
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2025
Certificate Expiration Date 2/7/2027
Facility Type Pharmacy
Lab Director DALGIS HERRERA

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