45D2134680 CLIA NUMBER - WALMART PHARMACY 10-3888

Laboratory Demographics

  • CLIA Code: 45D2134680
  • Facility Name: WALMART PHARMACY 10-3888
  • Facility Address: 11210 POTRANCO ROAD
    SAN ANTONIO, TX
    ZIP 78253
  • Facility Phone: 210 679-9208
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHERYL D. BELMAN
  • NPI Number: 1629287537
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2134680
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3888
Street 11210 POTRANCO ROAD
City SAN ANTONIO
State TX
ZIP 78253
Phone 210 679-9208
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 CHERYL D. BELMAN

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