45D2136848 CLIA NUMBER - WALMART PHARMACY 10-0861

Laboratory Demographics

  • CLIA Code: 45D2136848
  • Facility Name: WALMART PHARMACY 10-0861
  • Facility Address: 4215 S LOOP 289
    LUBBOCK, TX
    ZIP 79423
  • Facility Phone: 806 793-8816
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WILLLIAM G. SHERMAN
  • NPI Number: 1275992570
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 45D2136848
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0861
Street 4215 S LOOP 289
City LUBBOCK
State TX
ZIP 79423
Phone 806 793-8816
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 WILLLIAM G. SHERMAN

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