45D2116968 CLIA NUMBER - WALMART PHARMACY 10-271

Laboratory Demographics

  • CLIA Code: 45D2116968
  • Facility Name: WALMART PHARMACY 10-271
  • Facility Address: 1341 HIGHWAY 287 N
    BOWIE, TX
    ZIP 76230
  • Facility Phone: 940 872-2003
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KENDRA J. GRIFFIN
  • NPI Number: 1336167170
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2116968
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-271
Street 1341 HIGHWAY 287 N
City BOWIE
State TX
ZIP 76230
Phone 940 872-2003
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/5/2024
Certificate Expiration Date 8/4/2026
Facility Type Pharmacy
Lab Director KENDRA J. GRIFFIN

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