45D2135001 CLIA NUMBER - WALMART PHARMACY 10-1347

Laboratory Demographics

  • CLIA Code: 45D2135001
  • Facility Name: WALMART PHARMACY 10-1347
  • Facility Address: 1430 AUSTIN HWY
    SAN ANTONIO, TX
    ZIP 78209
  • Facility Phone: 210 637-1888
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANIEL CONTRERAS
  • NPI Number: 1790886562
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 45D2135001
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1347
Street 1430 AUSTIN HWY
City SAN ANTONIO
State TX
ZIP 78209
Phone 210 637-1888
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 DANIEL CONTRERAS

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