45D2127268 CLIA NUMBER - WALMART PHARMACY 10-865

Laboratory Demographics

  • CLIA Code: 45D2127268
  • Facility Name: WALMART PHARMACY 10-865
  • Facility Address: 1209 S INTERSTATE 35
    NEW BRAUNFELS, TX
    ZIP 78130
  • Facility Phone: 830 629-9011
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HANNAH A. KOCIAN
  • NPI Number: 1295753085
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2127268
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-865
Street 1209 S INTERSTATE 35
City NEW BRAUNFELS
State TX
ZIP 78130
Phone 830 629-9011
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 HANNAH A. KOCIAN

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