45D2136840 CLIA NUMBER - WALMART PHARMACY 10-3381

Laboratory Demographics

  • CLIA Code: 45D2136840
  • Facility Name: WALMART PHARMACY 10-3381
  • Facility Address: 407 NE GEORGIA AVE
    SWEETWATER, TX
    ZIP 79556
  • Facility Phone: 325 236-9588
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARINANA VAN DER MERWE
  • NPI Number: 1740207851
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2136840
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3381
Street 407 NE GEORGIA AVE
City SWEETWATER
State TX
ZIP 79556
Phone 325 236-9588
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2025
Certificate Expiration Date 9/17/2027
Facility Type Pharmacy
Lab Director MARINANA VAN DER MERWE

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