45D2136726 CLIA NUMBER - WALMART PHARMACY 10-3383

Laboratory Demographics

CLIA Number: 45D2136726

Facility Name: WALMART PHARMACY 10-3383

Facility Address:
4215 CANYON DR
AMARILLO, TX
ZIP 79110
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Facility Phone Number: 806 352-8627

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1093732166

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

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
CertificateType	4
CertificateEffectiveDate	9/14/2023
CertificateExpirationDate	9/13/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024