45D2135160 CLIA NUMBER - WALMART PHARMACY 10-3320

Laboratory Demographics

  • CLIA Code: 45D2135160
  • Facility Name: WALMART PHARMACY 10-3320
  • Facility Address: 215 E MILE 3 RD
    PALMHURST, TX
    ZIP 78574
  • Facility Phone: 956 519-2240
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GILBERTO GONZALEZ
  • NPI Number: 1821015983
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2135160
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3320
Street 215 E MILE 3 RD
City PALMHURST
State TX
ZIP 78574
Phone 956 519-2240
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2025
Certificate Expiration Date 8/15/2027
Facility Type Pharmacy
Lab Director GILBERTO GONZALEZ

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