45D2136557 CLIA NUMBER - WALMART PHARMACY 10-3645

Laboratory Demographics

  • CLIA Code: 45D2136557
  • Facility Name: WALMART PHARMACY 10-3645
  • Facility Address: 200 W INTERSTATE 20
    MIDLAND, TX
    ZIP 79701
  • Facility Phone: 432 684-4425
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: UGOCHUKWU JO CHIADI
  • NPI Number: 1902823073
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2136557
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3645
Street 200 W INTERSTATE 20
City MIDLAND
State TX
ZIP 79701
Phone 432 684-4425
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 UGOCHUKWU JO CHIADI

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