45D2122240 CLIA NUMBER - WALMART PHARMACY 10-6963

Laboratory Demographics

CLIA Number: 45D2122240

Facility Name: WALMART PHARMACY 10-6963

Facility Address:
521 S CENTRAL EXPRESS WAY
ANNA, TX
ZIP 75409
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Facility Phone Number: 972 924-3368

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1992243471

Taxonomy: 332H00000X - Eyewear Supplier
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

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
CertificateType	4
CertificateEffectiveDate	11/22/2022
CertificateExpirationDate	11/21/2024
FacilityType	Waiver

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