45D2116981 CLIA NUMBER - WALMART PHARMACY 10-353

Laboratory Demographics

  • CLIA Code: 45D2116981
  • Facility Name: WALMART PHARMACY 10-353
  • Facility Address: 2121 STATE HIGHWAY 16- S
    GRAHAM, TX
    ZIP 76450
  • Facility Phone: 940 549-7763
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RACHEL L. LAUSTER
  • NPI Number: 1912924010
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2116981
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-353
Street 2121 STATE HIGHWAY 16- S
City GRAHAM
State TX
ZIP 76450
Phone 940 549-7763
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 RACHEL L. LAUSTER

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