45D2136546 CLIA NUMBER - WALMART PHARMACY 10-3384

Laboratory Demographics

  • CLIA Code: 45D2136546
  • Facility Name: WALMART PHARMACY 10-3384
  • Facility Address: 300 W 15TH ST
    HEREFORD, TX
    ZIP 79045
  • Facility Phone: 806 364-4459
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MISTY D. CAMPBELL
  • NPI Number: 1386661494
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2136546
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3384
Street 300 W 15TH ST
City HEREFORD
State TX
ZIP 79045
Phone 806 364-4459
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2025
Certificate Expiration Date 9/11/2027
Facility Type Pharmacy
Lab Director MISTY D. CAMPBELL

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