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45D2136466 CLIA NUMBER - WALMART PHARMACY 10-3826

Laboratory Demographics

CLIA Number: 45D2136466

Facility Name: WALMART PHARMACY 10-3826

Facility Address:
1911 MARSHA SHARP FWY
LUBBOCK, TX
ZIP 79415
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Facility Phone Number: 806 747-3915

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1396853685

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 45D2136466
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3826
Street 1911 MARSHA SHARP FWY
City LUBBOCK
State TX
ZIP 79415
Phone 806 747-3915
CertificateType 4
CertificateEffectiveDate 9/11/2023
CertificateExpirationDate 9/10/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024