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45D2124722 CLIA NUMBER - WALMART PHARMACY 10-330

Laboratory Demographics

CLIA Number: 45D2124722

Facility Name: WALMART PHARMACY 10-330

Facility Address:
9002 N NAVARRO STREET
VICTORIA, TX
ZIP 77904
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Facility Phone Number: 361 576-2132

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1265459432

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 45D2124722
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-330
Street 9002 N NAVARRO STREET
City VICTORIA
State TX
ZIP 77904
Phone 361 576-2132
CertificateType 4
CertificateEffectiveDate 1/24/2023
CertificateExpirationDate 1/23/2025
FacilityType Waiver

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