45D2129401 CLIA NUMBER - WALMART PHARMACY 10-3623

Laboratory Demographics

  • CLIA Code: 45D2129401
  • Facility Name: WALMART PHARMACY 10-3623
  • Facility Address: 4401 HWY 83 SOUTH
    LAREDO, TX
    ZIP 78046
  • Facility Phone: 956 727-1731
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MATTHEW ABEBE
  • NPI Number: 1487762878
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2129401
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3623
Street 4401 HWY 83 SOUTH
City LAREDO
State TX
ZIP 78046
Phone 956 727-1731
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/18/2025
Certificate Expiration Date 4/17/2027
Facility Type Pharmacy
Lab Director MATTHEW ABEBE

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