10D2280079 CLIA NUMBER - WAL-MART STORES EAST, LP

Laboratory Demographics

  • CLIA Code: 10D2280079
  • Facility Name: WAL-MART STORES EAST, LP
  • Facility Address: 7011 W WATERS AVE
    TAMPA, FL
    ZIP 33634
  • Facility Phone: 813 881-0802
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MAGALY LOZADA
  • NPI Number: 1043237423
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2280079
LAB Type Pharmacy
Facility Name WAL-MART STORES EAST, LP
Street 7011 W WATERS AVE
City TAMPA
State FL
ZIP 33634
Phone 813 881-0802
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2025
Certificate Expiration Date 4/11/2027
Facility Type Pharmacy
Lab Director MAGALY LOZADA

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