45D2117419 CLIA NUMBER - WALMART PHARMACY 10-3631

Laboratory Demographics

  • CLIA Code: 45D2117419
  • Facility Name: WALMART PHARMACY 10-3631
  • Facility Address: 1221 FM 1187
    CROWLEY, TX
    ZIP 76036
  • Facility Phone: 682 233-7841
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NGOZI J. OMUKWFOR
  • NPI Number: 1346510914
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2117419
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3631
Street 1221 FM 1187
City CROWLEY
State TX
ZIP 76036
Phone 682 233-7841
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2024
Certificate Expiration Date 8/15/2026
Facility Type Pharmacy
Lab Director NGOZI J. OMUKWFOR

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