45D2101452 CLIA NUMBER - WALMART CARE CLINIC 10-5247

Laboratory Demographics

  • CLIA Code: 45D2101452
  • Facility Name: WALMART CARE CLINIC 10-5247
  • Facility Address: 1228 NORTH HIGHWAY 377
    ROANOKE, TX
    ZIP 76262
  • Facility Phone: 682 831-1957
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROMA PATEL
  • NPI Number: 1659398717
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2101452
LAB Type Pharmacy
Facility Name WALMART CARE CLINIC 10-5247
Street 1228 NORTH HIGHWAY 377
City ROANOKE
State TX
ZIP 76262
Phone 682 831-1957
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2024
Certificate Expiration Date 12/2/2026
Facility Type Pharmacy
Lab Director ROMA PATEL

Download Record

Download this CLIA record record in Text format: Export

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

Download this CLIA record record in XML format: Export

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