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45D2135184 CLIA NUMBER - WALMART PHARMACY 10-5898

Laboratory Demographics

CLIA Number: 45D2135184

Facility Name: WALMART PHARMACY 10-5898

Facility Address:
6101 SARATOGA ROAD
CORPUS CHRISTI, TX
ZIP 78412
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Facility Phone Number: 361 445-3307

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1639459803

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 45D2135184
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5898
Street 6101 SARATOGA ROAD
City CORPUS CHRISTI
State TX
ZIP 78412
Phone 361 445-3307
CertificateType 4
CertificateEffectiveDate 8/16/2023
CertificateExpirationDate 8/15/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024