45D2136611 CLIA NUMBER - WALMART PHARMACY 10-0077

Laboratory Demographics

  • CLIA Code: 45D2136611
  • Facility Name: WALMART PHARMACY 10-0077
  • Facility Address: 3701 N MAIN ST
    TAYLOR, TX
    ZIP 76574
  • Facility Phone: 512 352-6333
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THAO TAYLOR
  • NPI Number: 1568489748
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2136611
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0077
Street 3701 N MAIN ST
City TAYLOR
State TX
ZIP 76574
Phone 512 352-6333
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 THAO TAYLOR

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