45D2116971 CLIA NUMBER - WALMART PHARMACY 10-228

Laboratory Demographics

  • CLIA Code: 45D2116971
  • Facility Name: WALMART PHARMACY 10-228
  • Facility Address: 1616 WEST HENDERSON
    CLEBURNE, TX
    ZIP 76033
  • Facility Phone: 817 558-9994
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DARRELL W. HIGGINS
  • NPI Number: 1649298449
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2116971
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-228
Street 1616 WEST HENDERSON
City CLEBURNE
State TX
ZIP 76033
Phone 817 558-9994
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 DARRELL W. HIGGINS

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