45D2127319 CLIA NUMBER - WALMART PHARMACY 10-1067

Laboratory Demographics

  • CLIA Code: 45D2127319
  • Facility Name: WALMART PHARMACY 10-1067
  • Facility Address: 1505 N TEXANA STREET
    HALLETTSVILLE, TX
    ZIP 77964
  • Facility Phone: 361 798-4379
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHELSEA WIMBERLY
  • NPI Number: 1942227194
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2127319
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1067
Street 1505 N TEXANA STREET
City HALLETTSVILLE
State TX
ZIP 77964
Phone 361 798-4379
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2025
Certificate Expiration Date 3/12/2027
Facility Type Pharmacy
Lab Director CHELSEA WIMBERLY

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