45D2119788 CLIA NUMBER - WALMART PHARMACY 10-471

Laboratory Demographics

  • CLIA Code: 45D2119788
  • Facility Name: WALMART PHARMACY 10-471
  • Facility Address: 150 NORTH BECKLEY STREET
    LANCASTER, TX
    ZIP 75146
  • Facility Phone: 972 223-4196
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GLORY K. REMLEY
  • NPI Number: 1528423241
  • Taxonomy: 183500000X - Pharmacist

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CLIA Record

Field Name Field Value
CLIA Number 45D2119788
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-471
Street 150 NORTH BECKLEY STREET
City LANCASTER
State TX
ZIP 75146
Phone 972 223-4196
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2024
Certificate Expiration Date 10/3/2026
Facility Type Pharmacy
Lab Director GLORY K. REMLEY

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