45D2111122 CLIA NUMBER - WALMART PHARMACY 10-3107

Laboratory Demographics

  • CLIA Code: 45D2111122
  • Facility Name: WALMART PHARMACY 10-3107
  • Facility Address: 24403 IH 10 WEST
    SAN ANTONIO, TX
    ZIP 78255
  • Facility Phone: 210 276-2527
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BHAVIKA M. CROSS
  • NPI Number: 1184083487
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 45D2111122
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3107
Street 24403 IH 10 WEST
City SAN ANTONIO
State TX
ZIP 78255
Phone 210 276-2527
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2024
Certificate Expiration Date 3/30/2026
Facility Type Pharmacy
Lab Director BHAVIKA M. CROSS

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