45D2135185 CLIA NUMBER - WALMART PHARMACY 10-6159

Laboratory Demographics

  • CLIA Code: 45D2135185
  • Facility Name: WALMART PHARMACY 10-6159
  • Facility Address: 1600 S TEXAS BLVD
    WESLACO, TX
    ZIP 78596
  • Facility Phone: 956 854-2573
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ESTEBAN S. MEDINA
  • NPI Number: 1427461177
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2135185
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-6159
Street 1600 S TEXAS BLVD
City WESLACO
State TX
ZIP 78596
Phone 956 854-2573
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 ESTEBAN S. MEDINA

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