45D2136475 CLIA NUMBER - WALMART PHARMACY 10-1185

Laboratory Demographics

  • CLIA Code: 45D2136475
  • Facility Name: WALMART PHARMACY 10-1185
  • Facility Address: 1030 NORWOOD PARK BLVD
    AUSTIN, TX
    ZIP 78753
  • Facility Phone: 512 339-2050
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOEL CANIZALES
  • NPI Number: 1831116987
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2136475
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1185
Street 1030 NORWOOD PARK BLVD
City AUSTIN
State TX
ZIP 78753
Phone 512 339-2050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2025
Certificate Expiration Date 9/10/2027
Facility Type Pharmacy
Lab Director JOEL CANIZALES

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