45D2127326 CLIA NUMBER - WALMART PHARMACY 10-1494

Laboratory Demographics

  • CLIA Code: 45D2127326
  • Facility Name: WALMART PHARMACY 10-1494
  • Facility Address: 4109 S SOUTH STAPLES STREET
    CORPUS CHRISTI, TX
    ZIP 78411
  • Facility Phone: (361) 994-9015
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHINWIN NUMFOR
  • NPI Number: 1801813068
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2127326
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1494
Street 4109 S SOUTH STAPLES STREET
City CORPUS CHRISTI
State TX
ZIP 78411
Phone 3619949015
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 SHINWIN NUMFOR

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This page was last updated on: 5/18/2026