45D2136600 CLIA NUMBER - WALMART PHARMACY 10-4130

Laboratory Demographics

  • CLIA Code: 45D2136600
  • Facility Name: WALMART PHARMACY 10-4130
  • Facility Address: 5754 KYLE PARKWAY
    KYLE, TX
    ZIP 78640
  • Facility Phone: 512 268-0412
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TRAM ANH THUY DO
  • NPI Number: 1508257312
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 45D2136600
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4130
Street 5754 KYLE PARKWAY
City KYLE
State TX
ZIP 78640
Phone 512 268-0412
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 TRAM ANH THUY DO

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