45D2127263 CLIA NUMBER - WALMART PHARMACY 10-464

Laboratory Demographics

  • CLIA Code: 45D2127263
  • Facility Name: WALMART PHARMACY 10-464
  • Facility Address: 3829 US HIGHWAY 77
    CORPUS CHRISTI, TX
    ZIP 78410
  • Facility Phone: 361 387-4920
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VICTORINE CHI
  • NPI Number: 1336166594
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2127263
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-464
Street 3829 US HIGHWAY 77
City CORPUS CHRISTI
State TX
ZIP 78410
Phone 361 387-4920
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2025
Certificate Expiration Date 3/9/2027
Facility Type Pharmacy
Lab Director VICTORINE CHI

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