10D2278519 CLIA NUMBER - WAL-MART STORES EAST LP

Laboratory Demographics

  • CLIA Code: 10D2278519
  • Facility Name: WAL-MART STORES EAST LP
  • Facility Address: 4085 WEDGE WOOD LN WAL-MART PHARMACY #10-4262
    THE VILLAGES, FL
    ZIP 32162
  • Facility Phone: 352 259-2844
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAVID HALL
  • NPI Number: 1881759074
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2278519
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST LP
Street 4085 WEDGE WOOD LN WAL-MART PHARMACY #10-4262
City THE VILLAGES
State FL
ZIP 32162
Phone 352 259-2844
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2025
Certificate Expiration Date 3/19/2027
Facility Type Pharmacy
Lab Director DAVID HALL

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