45D2118280 CLIA NUMBER - WALMART PHARMACY 10-5707

Laboratory Demographics

  • CLIA Code: 45D2118280
  • Facility Name: WALMART PHARMACY 10-5707
  • Facility Address: 11700 US HIGHWAY 380
    CROSSROADS, TX
    ZIP 76227
  • Facility Phone: (940) 488-7011
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: FADI TAMMOUS

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CLIA Record

Field Name Field Value
CLIA Number 45D2118280
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5707
Street 11700 US HIGHWAY 380
City CROSSROADS
State TX
ZIP 76227
Phone 9404887011
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/6/2024
Certificate Expiration Date 9/5/2026
Facility Type Pharmacy
Lab Director FADI TAMMOUS

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This page was last updated on: 5/18/2026