45D2122872 CLIA NUMBER - WALMART PHARMACY 10-226

Laboratory Demographics

CLIA Number: 45D2122872

Facility Name: WALMART PHARMACY 10-226

Facility Address:
201 S HWY 59 LOOP
ATLANTA, TX
ZIP 75551
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Facility Phone Number: 903 796-8231

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1124045372

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	45D2122872
LAB Type	Pharmacy
Facility Name	WALMART PHARMACY 10-226
Street	201 S HWY 59 LOOP
City	ATLANTA
State	TX
ZIP	75551
Phone	903 796-8231
CertificateType	4
CertificateEffectiveDate	12/8/2022
CertificateExpirationDate	12/7/2024
FacilityType	Waiver

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