10D2278521 CLIA NUMBER - WAL-MART STORES EAST LP

Laboratory Demographics

  • CLIA Code: 10D2278521
  • Facility Name: WAL-MART STORES EAST LP
  • Facility Address: 14325 SW 286TH ST, WALMART PHARMACY #10-3935
    NARANJA, FL
    ZIP 33032
  • Facility Phone: 305 508-3384
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: FAWAZ FAROOQI
  • NPI Number: 1437657426
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2278521
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST LP
Street 14325 SW 286TH ST, WALMART PHARMACY #10-3935
City NARANJA
State FL
ZIP 33032
Phone 305 508-3384
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 FAWAZ FAROOQI

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