45D2134998 CLIA NUMBER - WALMART PHARMACY 10-0791

Laboratory Demographics

  • CLIA Code: 45D2134998
  • Facility Name: WALMART PHARMACY 10-0791
  • Facility Address: 2701 E MAIN STREET
    ALICE, TX
    ZIP 78332
  • Facility Phone: 361 668-0504
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAVID GUZMAN
  • NPI Number: 1619994886
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2134998
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0791
Street 2701 E MAIN STREET
City ALICE
State TX
ZIP 78332
Phone 361 668-0504
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2025
Certificate Expiration Date 8/13/2027
Facility Type Pharmacy
Lab Director DAVID GUZMAN

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