45D2119511 CLIA NUMBER - WALMART PHARMACY 10-421

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Laboratory Demographics

CLIA Number: 45D2119511

Facility Name: WALMART PHARMACY 10-421

Facility Address:
800 S US HWY , 81/287
DECATUR, TX
ZIP 76234
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Facility Phone Number: 940 627-3038

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1184642936

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	45D2119511
LAB Type	Pharmacy
Facility Name	WALMART PHARMACY 10-421
Street	800 S US HWY , 81/287
City	DECATUR
State	TX
ZIP	76234
Phone	940 627-3038
CertificateType	4
CertificateEffectiveDate	9/28/2022
CertificateExpirationDate	9/27/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024