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45D2128994 CLIA NUMBER - WALMART PHARMACY 292

Laboratory Demographics

CLIA Number: 45D2128994

Facility Name: WALMART PHARMACY 292

Facility Address:
1904 S COLORADO ST
LOCKHART, TX
ZIP 78644
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Facility Phone Number: 512 398-2364

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1821015009

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 45D2128994
LAB Type Pharmacy
Facility Name WALMART PHARMACY 292
Street 1904 S COLORADO ST
City LOCKHART
State TX
ZIP 78644
Phone 512 398-2364
CertificateType 4
CertificateEffectiveDate 4/11/2023
CertificateExpirationDate 4/10/2025
FacilityType Waiver

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