45D2135921 CLIA NUMBER - WALMART PHARMACY 10-412

Laboratory Demographics

  • CLIA Code: 45D2135921
  • Facility Name: WALMART PHARMACY 10-412
  • Facility Address: 1405 E TYLER STREET
    ATHENS, TX
    ZIP 75751
  • Facility Phone: 903 677-2501
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ADAM F. FISCHER
  • NPI Number: 1922025154
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2135921
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-412
Street 1405 E TYLER STREET
City ATHENS
State TX
ZIP 75751
Phone 903 677-2501
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/30/2025
Certificate Expiration Date 8/29/2027
Facility Type Pharmacy
Lab Director ADAM F. FISCHER

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