45D2128994 CLIA NUMBER - WALMART PHARMACY 292

Laboratory Demographics

  • CLIA Code: 45D2128994
  • Facility Name: WALMART PHARMACY 292
  • Facility Address: 1904 S COLORADO ST
    LOCKHART, TX
    ZIP 78644
  • Facility Phone: 512 398-2364
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WINNETT FELICITY
  • NPI Number: 1821015009
  • Taxonomy: 3336C0003X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2025
Certificate Expiration Date 4/10/2027
Facility Type Pharmacy
Lab Director WINNETT FELICITY

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