45D2136732 CLIA NUMBER - WALMART PHARMACY 10-4299

Laboratory Demographics

CLIA Number: 45D2136732

Facility Name: WALMART PHARMACY 10-4299

Facility Address:
6315 82ND ST
LUBBOCK, TX
ZIP 79424
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Facility Phone Number: 806 698-8259

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1679638787

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