45D2134623 CLIA NUMBER - WALMART PHARMACY 10-397

Laboratory Demographics

  • CLIA Code: 45D2134623
  • Facility Name: WALMART PHARMACY 10-397
  • Facility Address: 1200 E JACKSON AVENUE
    MCALLEN, TX
    ZIP 78503
  • Facility Phone: 956 686-1840
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LUIS M. VILLARREAL
  • NPI Number: 1750308987
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2134623
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-397
Street 1200 E JACKSON AVENUE
City MCALLEN
State TX
ZIP 78503
Phone 956 686-1840
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 LUIS M. VILLARREAL

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