45D2119518 CLIA NUMBER - WALMART PHARMACY 10-561

Laboratory Demographics

  • CLIA Code: 45D2119518
  • Facility Name: WALMART PHARMACY 10-561
  • Facility Address: 1410 E MAIN STREET
    EASTLAND, TX
    ZIP 76448
  • Facility Phone: 254 629-3347
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NNEKA C. EJERE
  • NPI Number: 1750308862
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2119518
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-561
Street 1410 E MAIN STREET
City EASTLAND
State TX
ZIP 76448
Phone 254 629-3347
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2024
Certificate Expiration Date 9/27/2026
Facility Type Pharmacy
Lab Director NNEKA C. EJERE

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