45D2128068 CLIA NUMBER - WALMART PHARMACY 10-0567

Laboratory Demographics

  • CLIA Code: 45D2128068
  • Facility Name: WALMART PHARMACY 10-0567
  • Facility Address: 475 STATE HIGHWAY 36 N
    CALDWELL, TX
    ZIP 77836
  • Facility Phone: 979 567-0234
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KEVIN J. SHIMEK
  • NPI Number: 1710904982
  • Taxonomy: 3336C0003X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Pharmacy
Lab Director KEVIN J. SHIMEK

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