45D2134621 CLIA NUMBER - WALMART PHARMACY 10-1000

Laboratory Demographics

  • CLIA Code: 45D2134621
  • Facility Name: WALMART PHARMACY 10-1000
  • Facility Address: 2721 BOCA CHICA BLVD
    BROWNSVILLE, TX
    ZIP 78521
  • Facility Phone: 956 544-7516
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMADEO VALENZUELA
  • NPI Number: 1770500928
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2134621
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1000
Street 2721 BOCA CHICA BLVD
City BROWNSVILLE
State TX
ZIP 78521
Phone 956 544-7516
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/7/2025
Certificate Expiration Date 8/6/2027
Facility Type Pharmacy
Lab Director AMADEO VALENZUELA

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