45D2135925 CLIA NUMBER - WALMART PHARMACY 10-251

Laboratory Demographics

  • CLIA Code: 45D2135925
  • Facility Name: WALMART PHARMACY 10-251
  • Facility Address: 135 NE LOOP 564
    MINEOLA, TX
    ZIP 75773
  • Facility Phone: 903 569-5485
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SEKYERE SOLOMON
  • NPI Number: 1194742320
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2135925
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-251
Street 135 NE LOOP 564
City MINEOLA
State TX
ZIP 75773
Phone 903 569-5485
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 SEKYERE SOLOMON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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