45D2127904 CLIA NUMBER - WALMART PHARMACY 10-595

Laboratory Demographics

CLIA Number: 45D2127904

Facility Name: WALMART PHARMACY 10-595

Facility Address:
1801 W LINCOLN STREET
HARLINGEN, TX
ZIP 78552
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Facility Phone Number: 956 425-7753

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1023035276

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	45D2127904
LAB Type	Pharmacy
Facility Name	WALMART PHARMACY 10-595
Street	1801 W LINCOLN STREET
City	HARLINGEN
State	TX
ZIP	78552
Phone	956 425-7753
CertificateType	4
CertificateEffectiveDate	3/21/2023
CertificateExpirationDate	3/20/2025
FacilityType	Waiver

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