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45D2127684 CLIA NUMBER - WALMART PHARMACY 10-6579

Laboratory Demographics

CLIA Number: 45D2127684

Facility Name: WALMART PHARMACY 10-6579

Facility Address:
20310 US 59
NEW CANEY, TX
ZIP 77357
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Facility Phone Number: 479 258-6036

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1922532779

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name Field Value
CLIA Number 45D2127684
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-6579
Street 20310 US 59
City NEW CANEY
State TX
ZIP 77357
Phone 479 258-6036
CertificateType 4
CertificateEffectiveDate 3/16/2023
CertificateExpirationDate 3/15/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024