45D2127337 CLIA NUMBER - WALMART PHARMACY 10-2763

Laboratory Demographics

  • CLIA Code: 45D2127337
  • Facility Name: WALMART PHARMACY 10-2763
  • Facility Address: 900 N SALINAS BOULEVARD
    DONNA, TX
    ZIP 78537
  • Facility Phone: 956 461-2953
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHESTLEY MILLER
  • NPI Number: 1023409976
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 45D2127337
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2763
Street 900 N SALINAS BOULEVARD
City DONNA
State TX
ZIP 78537
Phone 956 461-2953
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 CHESTLEY MILLER

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