45D2134676 CLIA NUMBER - WALMART PHARMACY 10-4131

Laboratory Demographics

  • CLIA Code: 45D2134676
  • Facility Name: WALMART PHARMACY 10-4131
  • Facility Address: 9427 CULEBRA ROAD
    SAN ANTONIO, TX
    ZIP 78251
  • Facility Phone: 210 526-6007
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WASHINGTON FAMOUS
  • NPI Number: 1972942993
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2134676
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4131
Street 9427 CULEBRA ROAD
City SAN ANTONIO
State TX
ZIP 78251
Phone 210 526-6007
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2025
Certificate Expiration Date 8/7/2027
Facility Type Pharmacy
Lab Director WASHINGTON FAMOUS

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