45D2136726 CLIA NUMBER - WALMART PHARMACY 10-3383

Laboratory Demographics

  • CLIA Code: 45D2136726
  • Facility Name: WALMART PHARMACY 10-3383
  • Facility Address: 4215 CANYON DR
    AMARILLO, TX
    ZIP 79110
  • Facility Phone: 806 352-8627
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHERYL MOONEY
  • NPI Number: 1093732166
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2136726
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3383
Street 4215 CANYON DR
City AMARILLO
State TX
ZIP 79110
Phone 806 352-8627
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2025
Certificate Expiration Date 9/13/2027
Facility Type Pharmacy
Lab Director CHERYL MOONEY

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