45D2136686 CLIA NUMBER - WALMART PHARMACY 10-0608

Laboratory Demographics

  • CLIA Code: 45D2136686
  • Facility Name: WALMART PHARMACY 10-0608
  • Facility Address: 4517 N MIDLAND DR
    MIDLAND, TX
    ZIP 79707
  • Facility Phone: 432 697-2299
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MANOJ KOTHARI
  • NPI Number: 1205853454
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2136686
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0608
Street 4517 N MIDLAND DR
City MIDLAND
State TX
ZIP 79707
Phone 432 697-2299
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2025
Certificate Expiration Date 9/12/2027
Facility Type Pharmacy
Lab Director MANOJ KOTHARI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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