10D2279527 CLIA NUMBER - WAL- MART STORES EAST , LP

Laboratory Demographics

  • CLIA Code: 10D2279527
  • Facility Name: WAL- MART STORES EAST , LP
  • Facility Address: 4545 HYP OLUXO RD
    LAKE WORTH, FL
    ZIP 33463
  • Facility Phone: 561 642-2608
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LESTER GOBIN
  • NPI Number: 1871510255
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2279527
LAB Type Pharmacy
Facility Name WAL- MART STORES EAST , LP
Street 4545 HYP OLUXO RD
City LAKE WORTH
State FL
ZIP 33463
Phone 561 642-2608
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/4/2025
Certificate Expiration Date 4/3/2027
Facility Type Pharmacy
Lab Director LESTER GOBIN

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