45D2126032 CLIA NUMBER - WALMART PHARMACY 10-4102

Laboratory Demographics

  • CLIA Code: 45D2126032
  • Facility Name: WALMART PHARMACY 10-4102
  • Facility Address: 1151 US HWY 90 E
    CASTROVILLE, TX
    ZIP 78009
  • Facility Phone: 479 258-6036
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACOB ZINSMEYER
  • NPI Number: 1912445487
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 45D2126032
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4102
Street 1151 US HWY 90 E
City CASTROVILLE
State TX
ZIP 78009
Phone 479 258-6036
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/17/2025
Certificate Expiration Date 2/16/2027
Facility Type Pharmacy
Lab Director JACOB ZINSMEYER

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