45D2136609 CLIA NUMBER - WALMART PHARMACY 10-5317

Laboratory Demographics

  • CLIA Code: 45D2136609
  • Facility Name: WALMART PHARMACY 10-5317
  • Facility Address: 9300 S INTERSTATE 35 STE B
    AUSTIN, TX
    ZIP 78748
  • Facility Phone: 512 292-0346
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANJEANETTE GONZALEZ
  • NPI Number: 1376560433
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2136609
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5317
Street 9300 S INTERSTATE 35 STE B
City AUSTIN
State TX
ZIP 78748
Phone 512 292-0346
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 ANJEANETTE GONZALEZ

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