45D2135256 CLIA NUMBER - WALMART PHARMACY 10-1235

Laboratory Demographics

  • CLIA Code: 45D2135256
  • Facility Name: WALMART PHARMACY 10-1235
  • Facility Address: 5025 NW LOOP 410
    SAN ANTONIO, TX
    ZIP 78229
  • Facility Phone: 210 523-1123
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JULIA K. ALUYEN
  • NPI Number: 1063439222
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2135256
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1235
Street 5025 NW LOOP 410
City SAN ANTONIO
State TX
ZIP 78229
Phone 210 523-1123
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 JULIA K. ALUYEN

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