45D2136732 CLIA NUMBER - WALMART PHARMACY 10-4299

Laboratory Demographics

  • CLIA Code: 45D2136732
  • Facility Name: WALMART PHARMACY 10-4299
  • Facility Address: 6315 82ND ST
    LUBBOCK, TX
    ZIP 79424
  • Facility Phone: 806 698-8259
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TIFFANY TYLER
  • NPI Number: 1679638787
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2136732
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4299
Street 6315 82ND ST
City LUBBOCK
State TX
ZIP 79424
Phone 806 698-8259
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 TIFFANY TYLER

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