45D2136727 CLIA NUMBER - WALMART PHARMACY 10-3229

Laboratory Demographics

  • CLIA Code: 45D2136727
  • Facility Name: WALMART PHARMACY 10-3229
  • Facility Address: 3800 US HIGHWAY 287 W
    VERNON, TX
    ZIP 76384
  • Facility Phone: 940 552-8069
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MAURICIO VAZQUEZ-VARGAS
  • NPI Number: 1427076116
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2136727
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3229
Street 3800 US HIGHWAY 287 W
City VERNON
State TX
ZIP 76384
Phone 940 552-8069
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 MAURICIO VAZQUEZ-VARGAS

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