45D2134627 CLIA NUMBER - WALMART PHARMACY 10-443

Laboratory Demographics

  • CLIA Code: 45D2134627
  • Facility Name: WALMART PHARMACY 10-443
  • Facility Address: 109 22ND STREET
    HONDO, TX
    ZIP 78861
  • Facility Phone: 830 426-3305
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TRACEY L. WILLIAMS
  • NPI Number: 1548288376
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2134627
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-443
Street 109 22ND STREET
City HONDO
State TX
ZIP 78861
Phone 830 426-3305
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 TRACEY L. WILLIAMS

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