45D2103126 CLIA NUMBER - WALMART PHARMACY 10-7220

Laboratory Demographics

  • CLIA Code: 45D2103126
  • Facility Name: WALMART PHARMACY 10-7220
  • Facility Address: 1852 SHERWOOD WAY
    SAN ANGELO, TX
    ZIP 76901
  • Facility Phone: 325 276-6948
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ESTER A. CHEN
  • NPI Number: 1487031779
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2103126
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-7220
Street 1852 SHERWOOD WAY
City SAN ANGELO
State TX
ZIP 76901
Phone 325 276-6948
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2023
Certificate Expiration Date 10/5/2025
Facility Type Pharmacy
Lab Director ESTER A. CHEN

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This page was last updated on: 3/20/2025