Healther Providers Data Logo

45D2101290 CLIA NUMBER - WALMART CARE CLINIC 10-0398

Laboratory Demographics

CLIA Number: 45D2101290

Facility Name: WALMART CARE CLINIC 10-0398

Facility Address:
515 E LOOP 281
LONGVIEW, TX
ZIP 75605
Get Directions

Facility Phone Number: 479 204-2096

Facility Type: Community Clinic

Certificate Type: Waiver
NPI Number: 1720001993

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 45D2101290
LAB Type Community Clinic
Facility Name WALMART CARE CLINIC 10-0398
Street 515 E LOOP 281
City LONGVIEW
State TX
ZIP 75605
Phone 479 204-2096
CertificateType 4
CertificateEffectiveDate 8/31/2023
CertificateExpirationDate 8/30/2025
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024