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45D2128068 CLIA NUMBER - WALMART PHARMACY 10-0567

Laboratory Demographics

CLIA Number: 45D2128068

Facility Name: WALMART PHARMACY 10-0567

Facility Address:
475 STATE HIGHWAY 36 N
CALDWELL, TX
ZIP 77836
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Facility Phone Number: 979 567-0234

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1710904982

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 45D2128068
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0567
Street 475 STATE HIGHWAY 36 N
City CALDWELL
State TX
ZIP 77836
Phone 979 567-0234
CertificateType 4
CertificateEffectiveDate 3/24/2023
CertificateExpirationDate 3/23/2025
FacilityType Waiver

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