45D2122868 CLIA NUMBER - WALMART PHARMACY 10-140

Laboratory Demographics

  • CLIA Code: 45D2122868
  • Facility Name: WALMART PHARMACY 10-140
  • Facility Address: 2500 DANIEL MCCALL DRIVE
    LUFKIN, TX
    ZIP 75904
  • Facility Phone: 936 639-2275
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AUDREY D. WARD
  • NPI Number: 1457378622
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2122868
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-140
Street 2500 DANIEL MCCALL DRIVE
City LUFKIN
State TX
ZIP 75904
Phone 936 639-2275
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2024
Certificate Expiration Date 12/7/2026
Facility Type Pharmacy
Lab Director AUDREY D. WARD

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