45D2135253 CLIA NUMBER - WALMART PHARMACY 10-3886

Laboratory Demographics

  • CLIA Code: 45D2135253
  • Facility Name: WALMART PHARMACY 10-3886
  • Facility Address: 4101 S MCCOLL ROAD
    EDINBURG, TX
    ZIP 78539
  • Facility Phone: 956 618-5816
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRIS VEGA
  • NPI Number: 1669499893
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2135253
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3886
Street 4101 S MCCOLL ROAD
City EDINBURG
State TX
ZIP 78539
Phone 956 618-5816
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2025
Certificate Expiration Date 8/16/2027
Facility Type Pharmacy
Lab Director CHRIS VEGA

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