45D2122240 CLIA NUMBER - WALMART PHARMACY 10-6963

Laboratory Demographics

  • CLIA Code: 45D2122240
  • Facility Name: WALMART PHARMACY 10-6963
  • Facility Address: 521 S CENTRAL EXPRESS WAY
    ANNA, TX
    ZIP 75409
  • Facility Phone: 972 924-3368
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: COURTNEY E. CARDWELL
  • NPI Number: 1992243471
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 45D2122240
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-6963
Street 521 S CENTRAL EXPRESS WAY
City ANNA
State TX
ZIP 75409
Phone 972 924-3368
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/22/2024
Certificate Expiration Date 11/21/2026
Facility Type Pharmacy
Lab Director COURTNEY E. CARDWELL

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