45D2127340 CLIA NUMBER - WALMART PHARMACY 10-4112

Laboratory Demographics

  • CLIA Code: 45D2127340
  • Facility Name: WALMART PHARMACY 10-4112
  • Facility Address: 2205 E RUBEN TORRES SR BLVD
    BROWNSVILLE, TX
    ZIP 78526
  • Facility Phone: 956 509-2078
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KEVIN P. OSMERS
  • NPI Number: 1205229259
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 45D2127340
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4112
Street 2205 E RUBEN TORRES SR BLVD
City BROWNSVILLE
State TX
ZIP 78526
Phone 956 509-2078
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 KEVIN P. OSMERS

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